Manager – Pharmacy Business Analysis

Your Role 

The Pharmacy Operations and Stabilization team provides end-to-end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed from issue identification through resolution within a matrixed environment. The Manager, Business Analysis will report to the Sr Manager, Operations and Stabilization. In this role you will manage the team who owns the end-to-end translation of pharmacy benefit intent into business requirements, operational frameworks, and quality validation strategies; provide consultative leadership across quality assurance (QA), testing, and production stabilization activities; and influence cross-functional decisions to resolve complex issues and improve benefit accuracy, operational performance, and governance across matrixed business, clinical, technical, and vendor teams.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience 

• ​​Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience

• ​Requires at least 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisoror project/program manager

• Requires extensive experience with healthy plan pharmacy operations

• Requires experience translating business intent into business requirements, acceptance criteria, test scenarios, and operational validation plans

• Requires experience supporting quality assurance, user acceptance testing, regression testing, defect management, and post-implementation validation for pharmacy benefit or healthcare operations initiatives

• Preferred experience supporting large-scale pharmacy benefit implementations, annual benefit changes, product launches, client implementations, or system migration efforts

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Your Work 

In this role, you will: 

• Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations
• Contribute to annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
• Develop, prepare and analyze reports for management review, and present to various levels of management
• Define business requirements and provide analysis to increase operational efficiency
• Analyze actual results against plan and forecast and recommend interventions where appropriate

• Translate pharmacy benefit intent, business needs, and operational inputs into clear requirements, process flows, test scenarios, and supporting documentation

• Support quality assurance and user acceptance testing by validating benefit configuration, documenting results, and coordinating defect resolution

• Analyze production issues, trends, and root cause indicators to support timely triage, escalation, remediation, and prevention efforts

• Partner with business, clinical, technical, and vendor teams to clarify requirements, resolve questions, and ensure alignment across implementation and stabilization activities

• Maintain dashboards, trackers, reports, and issue documentation to support operational visibility, leadership updates, and decision-making

Pay Range for California: $102850.00 to $154330.00

Pay Range for Bay Area: $115940.00 to $173972.00