Pharmacy Financial Operations Analyst

Job Summary

A company is looking for an Analyst, Pharmacy Financial Operations.

Key Responsibilities

• Review, analyze, and reconcile pharmacy claims and payments data
• Ensure accurate and timely processing of pharmacy, member, and provider payments and remittances
• Collaborate with pharmacy network partners to resolve payment-related inquiries

Required Qualifications

• Bachelor's degree in accounting, Finance, Data Science, or a related field (or equivalent relevant work experience)
• 2+ years of experience in PBM with exposure to claims, payments, and remittances
• Strong SQL proficiency, including the ability to write queries and perform data validation
• High proficiency in Microsoft Excel, including advanced functions and data accuracy checks
• Knowledge of healthcare compliance regulations is a plus