Pharmacy Analyst
- Support pharmacy benefit consulting teams by preparing and organizing documentation for client meetings, RFP responses, and strategic pharmacy program reviews.
- Assist in analyzing pharmacy claims data to identify utilization trends, cost drivers, and opportunities for benefit optimization.
- Coordinate benefit design updates, formulary changes, and policy documentation for employer groups or health plan clients.
- Manage client communication regarding pharmacy benefit questions, formulary clarifications, and plan performance metrics.
- Compile reports for clients outlining claim outcomes, high‑cost medication impacts, and year‑over‑year pharmacy spend comparisons.
- Support consultants during audits and pharmacy benefit reviews by organizing information, claims extracts, and required documentation.
- Facilitate data requests and data reconciliations between client partners, PBMs, and internal analytics teams to support modeling, forecasting, and pricing initiatives.
- Monitored service-level agreement (SLA) performance for PBM partners and escalated issues impacting client experience or benefit accuracy.
- Assisted with benchmarking projects comparing pharmacy programs and pricing against industry standards, employer groups, and peer markets.
- Ensured all documentation and communications adhered to HIPAA and regulatory requirements when handling PHI.
- Provided administrative coordination for pharmacy-related projects, including meeting scheduling, timeline tracking, and deliverable management.
- Conduct ad hoc analyses based on client or broker requests.
- Education & Credentials:
- Experience:
- 3–5 years of experience in pharmacy benefits, PBM operations, pharmacy analytics or pharmacy consulting.
- Experience working with or for a PBM, health plan, or benefits consulting firm is highly desirable.
- Experience working with large data sets
- Skills:
- Strong analytical and financial acumen.
- Proficiency in Excel (pivot tables, formulas, charts) and data visualization tools (e.g., Tableau, Power BI).
- Excellent written and verbal communication skills.
- Ability to manage multiple projects and deadlines in a fast-paced environment
- Exceptionally organized, with the agility to move between projects quickly.
- A logical problem-solver who works independently and takes initiative.
- Consistently positive and professional, leading by example even under pressure.
- A strong communicator, both verbally and in writing, with a client-first mindset.
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