Pharmacy Benefit Financial Analyst
Foundation Risk Partners
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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About the role
- Produce savings analyses comparing PBM offers to determine the most cost-effective choice using claims data and pharmacy performance reports.
- Perform RFP analyses and prepare reports, supporting internal consultants throughout the process.
- Model plan designs for both existing and prospective clients.
- Download and manage reports and data using automated reporting tools.
- Conduct ad hoc analyses based on client or broker requests.
- Utilize claims data to generate KPI, plan performance, and other ad hoc reports as needed.
- Perform reconciliations, including discount, dispensing fee, and rebate guarantees, as well as claims repricing.
- Assist consultants with review of claims data and/or reporting for existing clients, monitoring plan performance, identifying problem areas, and uncovering cost savings opportunities.
- Review and help present findings in reports and presentations to internal and external stakeholders.
- Monitor discount and rebate guarantees for the existing client base.
- Maintain monthly, quarterly, and annual reports.
- Communicate effectively with the team, providing updates via email, video conference, and phone calls.
- Remote position with light travel
Requirements
- Minimum of 3 to 5 years of experience in pharmacy benefit analytics, auditing, or a related role within the PBM or healthcare industry.
- Proficiency in Microsoft Excel (pivot tables, formulas, charts) and Microsoft Access (queries, data relationships).
- Experience working with large healthcare datasets, including pharmacy claims data.
- Familiarity with pharmacy claims adjudication systems and PBM pricing models (preferred).
- Strong analytical and critical thinking skills with the ability to translate data into actionable insights.
- Ability to work independently in a remote, fast-paced environment with minimal supervision.
- Excellent verbal and written communication skills.
- Working knowledge of rebate contracts, discount guarantees, and performance metrics in the pharmacy benefit space (preferred).
- Experience presenting analytical findings to internal and external stakeholders, including non-technical audiences (preferred).
- Knowledge of healthcare regulations, including HIPAA and transparency regulations (preferred).
Benefits
- FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental.
- We offer a 401(k) with company match.
- Company paid life insurance.
- STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
pharmacy benefit analyticsauditingMicrosoft ExcelMicrosoft Accessdata analysisclaims data managementKPI generationclaims repricingreportingpharmacy claims adjudication
Soft Skills
analytical skillscritical thinkingcommunication skillsindependencepresentation skillsproblem-solvingteam collaborationtime managementadaptabilityattention to detail