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Pharmacy Operations Analyst

HMSA
United States, Hawaii, Honolulu
818 Ke’eaumoku Street (Show on map)
Oct 29, 2026

  1. Operational Planning & Execution


    • Manage projects related to developing and improving Pharmacy Operations, coordinate and/or facilitate planning and completion of quality assurance and monitoring activities within the department, Pharmacy Benefits Manager (PBM) and/or among major functional areas
    • Assess compliance with internal policies, procedures and work flows and new and revised business requirements; work with internal and external departments to implement corrective actions as necessary to meet and/or maintain acceptable performance levels
    • Support day-to-day execution of pharmacy operational activities within an assigned line of business.
    • Coordinate operational tasks, implementations, and follow-up activities across internal teams and external partners.
    • Assist in planning and execution of pharmacy-related initiatives, benefit changes, and operational enhancements.
    • Monitor operational activities to identify risks, delays, and/or process breakdowns.


  2. Benefit Implementation & Testing Support


    • Analyze business problems, including, but not limited to new benefit changes or products, formulary changes, enhancements to add functionality and/or improve efficiencies
    • Support benefit setup, validation, testing, and implementation activities.
    • Review benefit configuration outcomes and investigate discrepancies or operational concerns.
    • Coordinate testing activities with internal stakeholders and external vendors.
    • Document implementation results, findings, and required corrective actions..


  3. Issue Resolution & Process Improvement


    • Investigate operational issues impacting members, pharmacies, and/or business partners.
    • Facilitate & Coordinate issue resolution efforts across Pharmacy Management teams and supporting departments.
    • Identify root causes, escalation needs, and opportunities for process improvement.
    • Develop recommendations and proposals for resolution for leadership
    • Track operational issues through resolution and communicate status updates to stakeholders.


  4. Operational Analysis & Reporting


    • Independently analyze operational trends, implementation results, issue patterns, and performance indicators.
    • Develop reports and summaries that support decision-making and continuous improvement.
    • Partner with Pharmacy Performance and Pharmacy Solutions to support operational reviews and initiative tracking.
    • Identify opportunities to improve workflow efficiency and service quality.


  5. Cross-Functional Collaboration


    • Partner with Operations Specialists to ensure operational activities are completed accurately and consistently.
    • Collaborate with Operations Pharmacists on clinically complex operational issues.
    • Support interactions with internal departments, external vendors, and PBM partners.
    • Contribute operational expertise to enterprise initiatives and governance discussions as needed.


  6. Performs all other miscellaneous responsibilities and duties as assigned or directed.



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