Business Analyst- Pharmacy Systems

Job Title: Business Analyst – Retail Pharmacy

We are seeking a detail-oriented Business Analyst with strong experience in retail pharmacy operations and technology systems. In this role, you will bridge the gap between business stakeholders and technical teams to drive the design, implementation, and optimization of pharmacy solutions. You will play a key role in gathering requirements, improving workflows, and supporting systems that enhance patient care, regulatory compliance, and operational efficiency.

Key Responsibilities:

• Collaborate with pharmacy stakeholders, operations teams, and IT to gather, analyze, and document business and system requirements
• Translate business needs into functional specifications, user stories, and process workflows
• Analyze retail pharmacy processes including prescription intake, dispensing, billing, inventory management, and point-of-sale systems
• Support implementation and enhancement of pharmacy management systems and integrations (e.g., e-prescribing, insurance adjudication, and third-party vendors)
• Ensure compliance with regulatory requirements such as HIPAA and pharmacy board regulations
• Conduct gap analysis, identify process improvement opportunities, and recommend scalable solutions
• Work with QA and development teams to support testing, validation, and successful deployment of solutions
• Provide ongoing support, documentation, and training to end users and stakeholders
• Facilitate communication across cross-functional teams to ensure alignment and timely delivery

Required Qualifications:

• Bachelor’s degree in Business, Information Systems, Healthcare, or a related field
• 5+ years of experience as a Business Analyst, with a strong focus on retail pharmacy or healthcare systems
• In-depth knowledge of retail pharmacy workflows, including dispensing, claims processing, prior authorizations, and inventory management
• Experience with pharmacy systems such as dispensing platforms, pharmacy benefit management (PBM) systems, or POS systems
• Strong understanding of insurance adjudication processes (NCPDP standards, third-party billing)
• Familiarity with regulatory and compliance requirements (HIPAA, CMS, state pharmacy regulations)
• Proficiency in requirements gathering, process mapping, and documentation tools (e.g., JIRA, Confluence, Visio)
• Excellent analytical, communication, and stakeholder management skills

Preferred Qualifications:

• Experience with specialty pharmacy or mail-order pharmacy operations
• Knowledge of HL7, FHIR, or other healthcare data exchange standards
• Exposure to data analytics, reporting tools, or SQL
• Certification such as CBAP, CCBA, or PMP is a plus