Plan Analyst

Experience Required

3 - 20 years

Minimum Education Required

Bachelor's Degree

Compensation

$7.25 / hourly

Hours Per Week

40

Number Of Positions

1

Work Schedule and Shift Requirements

First (Day)

Job Description

Requisition: 2026-196376

Plan Analyst

Job Locations

US-KY-LOUISVILLE

ID 2026-196376 Line of Business PharMerica Position Type Full-Time

Our Company

PharMerica

Overview

The Plan Analyst establishes and sets up pricing and plan parameters in the pharmacy practice systems to support PharMerica client contracts and 3rd party plans. Responsible for the client pricing implementation process and pricing changes, resolving client issues, working in LTC400 and RxExact pharmacy systems for standard and complex plan designs. May work with formularies, the product file, and/or IV setups.

Responsibilities

Maintains client pricing and pharmacy coverage parameters in the pharmacy practice systems

Conducts research and provide information to internal partners on client pricing and coverage set-up

Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or quality assurance testing and recommends appropriate plan set-up changes and/or system modifications when required

Analyzes the client request and determine the best operational approach and perform set-up

Conducts research and provide information to internal partners on client pricing, coverage set up and product file questions

Provides consultation and expertise to internal partners

Participates and/or takes the lead in special projects

Performs other tasks as assigned

Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

Bachelor's degree

Three or more years corporate experience

Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience preferred

Ability to work with a high degree of accuracy and attention to detail

Strong interpersonal skills to work effectively with internal customers Microsoft office products

Knowledge of claims processing system or pharmacy practice system desired

Strong analytical and critical thinking skills

Advanced Excel and/or data knowledge

About our Line of Business

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

Job Type

Full time

Benefits Offered

Not specified

Veteran Preference

No

Place of Work

On-site

Requisition ID

2026-196376