Job Description & Qualifications
The Pharmacy Business Operations Analyst responsible for monitoring, analyzing, and improving pharmacy business operations processes with a focus on claim-level workflows, financial reconciliation, and operational effectiveness. The analyst supports day-to-day execution while also identifying trends, surfacing risks, and driving process improvements. The position will initially focus on workflows related to manufacturer pricing programs and Medicare initiatives (including Maximum Fair Price program operations), with flexibility to expand into broader pharmacy revenue integrity and reimbursement functions over time.
What You Will Do
- Monitor and manage operational workflows including claim queues, aging, and status tracking to ensure timely processing and resolution
- Review and validate claim-level data for accuracy, completeness, and readiness for submission or follow-up
- Track and investigate discrepancies between internal findings and external determinations (e.g., manufacturer or platform outcomes)
- Partner cross-functionally with pharmacy operations, finance, 340B, revenue cycle, and analytics teams to resolve issues and improve workflows
- Maintain issue logs for disputed claims, payment delays, data mismatches, and manufacturer-specific recurring issues
- Perform financial reconciliation of expected versus actual payments, credits, and adjustments; escalate and resolve variances
- Develop and maintain reporting on key metrics such as volume, aging, turnaround times, financial impact, and dollars at risk
- Support development and maintenance of standard operating procedures, documentation, and control frameworks
- Support annual readiness planning as additional negotiated drugs enter the MFP program
- Analyze trends in claims, payments, and operational performance; provide actionable insights and recommendations
- Contribute to ongoing process optimization and scalability initiatives across pharmacy business operations
- Assist in readiness planning and implementation of new programs, policies, and regulatory requirements
Additional Responsibilities
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- Bachelor’s Degree healthcare administration, business, pharmacy, or related field (Required) or
- equivalent experience may be considered (Preferred)
Work Experience
- 1+ years experience in pharmacy operations, reimbursement, 340B operations or payment reconciliation (Required) and
- Experience working with detailed data, including claim-level or transaction-level review (Required) and
- Strong analytical and problem-solving skills with attention to detail (Required) and
- Familiarity with 340B operations or manufacturer program processes (Preferred) or
- Experience with healthcare or pharmacy claims or payment workflows (Required) or
- Experience with business intelligence tools (e.g., Power BI, Tableau) (Preferred) or
- Exposure to SQL or other data querying tools (Preferred) or
- Experience with workflow or case management systems (e.g., Beacon or similar platforms) (Preferred) or
- Knowledge of pharmacy systems, reimbursement models, or regulatory programs (Preferred) or
Knowledge, Skills, & Abilities
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment (Required proficiency)
- Proficiency in Excel (e.g., large datasets, pivot tables, data analysis) (Required proficiency)
- Demonstrated ownership mindset and ability to work independently (Required proficiency)
- Strong written and verbal communication skills (Preferred proficiency)
- Financial reconciliation and variance analysis (Preferred proficiency)
- Strong documentation discipline and ability to manage high-volume operational work with short turnaround expectations (Preferred proficiency)
- Operational analytics and process improvement (Preferred proficiency)
- Data validation and reporting (Preferred proficiency)
- Cross-functional collaboration and stakeholder management (Preferred proficiency)
- Problem-solving and critical thinking (Preferred proficiency)
- Process ownership and accountability (Preferred proficiency)
- Adaptability in a dynamic regulatory and operational environment (Preferred proficiency)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Travel Requirements
- 0%
Additional Salary Detail:
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of posting of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, union negotiated contracts, budget and internal equity). This figure does not include, unless otherwise stated incentive pay or shift differential pay or the value of University Hospitals’ comprehensive benefits package, which includes healthcare, dental, vision, retirement plan options, and additional offerings. Click here to view complete wellness and benefits details.
For over 150 years, University Hospitals has been dedicated to our mission To Heal. To Teach. To Discover. Starting as a small Cleveland hospital in 1866, UH has grown into 18 hospitals and 40 health centers, serving 1 million people annually.
UH delivers exceptional care, advances medical innovation, and trains future healthcare leaders. Now, you have the opportunity to add your talents to this legacy of care. At UH, you’ll join a collaborative team in an inspiring environment where your skills and ideas will be valued. Together, we can continue to shape the future of healthcare and deliver on the promise of our mission for generations to come.
Equal Opportunity Employer – Veterans and individuals with disabilities.
At University Hospitals, everything we do is driven by our dedication to providing the highest quality patient care. All members of our team, regardless of whether they interact directly with patients, support our mission and share our commitment to caring, compassion, teamwork and providing an exceptional UH experience.
A career in professional services with University Hospitals provides challenging opportunities in:
- Operations – meeting the ever-evolving needs of the health care industry
- Learning – employing the most advanced, leading-edge health care technology
- Diversity – growing your experience by exploring multiple facets of various business functions
- Collaboration – working with cross-functional teams of the highest-caliber clinicians and support staff
Join us in advancing the science of Health and the art of compassion.
Equal Opportunity Employer – Veterans and individuals with disabilities.
University Hospitals is a national leader in healthcare that takes pride in calling Northeast Ohio home. With more than 150 locations throughout Cleveland and the surrounding metropolitan areas, UH provides unique opportunities to deliver world-class care in the communities where our employees live, work, and play.
We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.
View complete wellness and benefits details on our Why Choose Us page.

We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.


Working at University Hospitals
Careers at UH offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As leaders in our industry, our staff share a commitment to be the difference in the lives of our patients and our communities from Northeast Ohio and beyond. Look at this video to discover how we’re building an organization for the future today.
Nightshift Module
Night shift provides a unique and rewarding opportunity for caregivers who thrive in a close-knit, supportive environment. With fewer distractions and a calmer atmosphere, you’ll have the chance to foster meaningful relationships with both colleagues and patients. The quieter pace allows for more in-depth patient connections, greater autonomy, and the opportunity to refine your skills. Whether it’s the flexibility to fit your lifestyle, the teamwork and problem-solving that come with a close-knit team, or the financial benefits of shift differential pay, night shift offers a space where you can grow both personally and professionally. If you excel in a late-night environment and appreciate the independence and collaboration it offers, our night shift team is the perfect fit for you!
Hear from our team about why they enjoy working the night shift and how it has shaped their careers.
Sara H.
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I like nightshift because the smaller staff helps me build connections and friendships with the staff around me. Helping us to better communicate without any issues, including doctors. I can work independently, keeping my thinking skills sharp. Even when it is quiet, it is never boring.










