Senior Pharmacy Benefits Analyst (CMH Health)

Milliman•Brookfield, WI

15d•$93,700 - $177,675•Remote

About The Position

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. Who We Are 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.

Requirements

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 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

Nice To Haves

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

Responsibilities

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

Benefits

Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
401(k) Plan – Includes a company matching program and profit-sharing contributions.
Discretionary Bonus Program – Recognizing employee contributions.
Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
Holidays – A minimum of 10 observed holidays per year.
Family Building Benefits – Includes adoption and fertility assistance.
Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria.
Life Insurance & AD&D – 100% of premiums covered by Milliman.
Short-Term and Long-Term Disability – Fully paid by Milliman.