Pharmacy Benefits Claims Analyst

Job Summary

A company is looking for a Pharmacy Benefits Claims Analyst to conduct data-driven analyses and contribute to pharmacy benefits consulting.

Key Responsibilities

• Design and conduct data-driven analyses using pharmacy claims data and complex modeling
• Participate actively in a multi-disciplinary analytics team to identify creative solutions to complex problems
• Stay current on industry trends and contribute to the development of innovative methodologies for pharmacy claims analytics

Required Qualifications

• Minimum of 4 years of PBM or healthcare analytics experience, including 2 years specific to PBM analytics
• Working knowledge of Microsoft Office suite, with proficiency in Excel and SQL Server
• Knowledge of formularies and pharmacy claims data nomenclatures
• Experience explaining movements in key PBM performance indicators and pharmacy claims statistics
• Knowledge of claims data and its impact on claim adjudication and downstream analyses