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The Clinical Pharmacy Analyst I is responsible for supporting the planning, development, and implementation of clinical and quality pharmacy activities across the organization\. This role plays a key part in maintaining compliance with prior authorization regulatory and contractual requirements for all lines of business\. The analyst collaborates with internal teams and external partners to identify and prioritize process improvements, enhance workflow efficiency, and mitigate compliance risks\. Additional responsibilities include documenting procedures, performing data analysis, and supporting system testing to ensure the effectiveness of clinical pharmacy programs and services\.

Job Responsibilities

+ Collaborates with internal resources, external partners/vendors to support the identification/prioritization ofclinical and qualitypharmacy process solutions to drive problem resolution and prevent compliance risks

+ Creates internal processes thatenhanceworkflowefficiency, identify opportunitiesfor quality improvementand lead in the development of recommendations and evaluation of possible solutions to prevent compliance risks

+ Develops, documents and maintains processes and procedures for day\-to\-day management of clinicaland qualitypharmacy activities

+ Performs data entry and analysis as well as testing in multiple system applications

Job Qualifications

_Education_

+ Bachelor’s degree or equivalent work experience required\. Equivalent work experience is defined as 4 years of professional work experience

_Experience_

+ 3 years of experience in a pharmacy or health care industry setting with knowledge in medical terminology required

_Skills\\Certifications_

+ Active certification as pharmacy technician required

+ Proficient in Microsoft Office \(Outlook, Word, Excel and PowerPoint\)

+ Excellent oral and written communication skills

+ Strong interpersonal and organizational skills

+ Must be a team player, be organized and have the ability to handle multiple projects

+ Demonstrated project management skills

+ Possess strong analytical, technical, and decision\-makingskills

+ Ability to meet schedule deadlines and departmental goals

+ Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability

+ Must possess ability to maintain professional relationship with vendors and other external partners

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc\.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\)

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\.

We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\.

BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\.

BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.