Senior Pharmacy Benefits Analyst; CMH Health

Description

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Pharmacy benefits is one of the fastest-growing segments of the healthcare industry, and pharmacy benefits management (PBM) arrangements can be extremely complicated. Milliman's CMH Health practice is seeking a Senior Pharmacy Benefits Analyst to work in a fast-growing area of the practice to help support clients by helping them navigate the complex industry and provide data-driven solutions that can improve or lower the cost of care.

Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

• Provide qualitative and financial evaluations of PBM contracts, including pricing and fee schedules
• Assist with developing models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility data, etc.
• Acquire, standardize, and merge various data sets to provide summarized reports
• Contribute to drafting proposals, presentations, exhibits, RFPs, and reports
• Be able to work independently, but in a collaborative team environment

• Bachelor's degree in pharmacy or data analytics related field
• At least two years of pharmacy claims analysis or similar experience
• Strong business software capabilities, especially with Microsoft office tools (Excel) and data analysis technologies (SAS/SQL)
• Experience in the pharmacy benefits industry (ex. PBM, health plan, etc.) preferred but not required
• Knowledge of pharmacy claims reimbursement (ex. WAC, AWP, discounts, rebates, etc.) preferred but not required
• Experience with handling large pharmacy claims datasets preferred but not required
• Experience creating models and reports focused on opportunities for formulary management, prior authorizations, drug pricing, etc. preferred but not required

• Experience working with large pharmacy claims data sets and development of custom reports
• Analytical thinking and the ability to evaluate analyses for downstream impact
• Creative problem solving and analytical skills.
• Superior verbal and written communication skills
• Client focused and results oriented
• Ability to work independently and in a team environment
• Self-motivated, creative and resourceful

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

The overall salary range for this role is $93,700 – $177,675.

For candidates residing in:
Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Newark, San Jose, San Francisco, Pennsylvania, Virginia, Washington, or the District of Columbia:

• $107,755 – $177,675

All other states:

• $93,700 – $154,500

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

It is preferred that candidates work on-site at our Brookfield, WI, Chicago, IL, or Hartford, CT office, however, remote candidates will be considered.

We offer a comprehensive benefits package designed to support employees' health, financial security, and well‑being. Benefits include:

• Medical, Dental and Vision -…