FRP of Florida ยท 1 month ago
Pharmacy Benefit Analyst
Windermere, FL
Full-time
Onsite
Mid Level
3+ years expFRP of Florida is an innovative company entering a new era of growth and data-driven transformation. The Pharmacy Benefit Analyst plays a critical role in supporting pharmacy benefit management consulting operations through data analysis, reporting, and validation to drive cost savings and optimize plan performance.
FinanceInsurance
Responsibilities
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
Qualification
Required
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
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
Preferred
Familiarity with pharmacy claims adjudication systems and PBM pricing models
Working knowledge of rebate contracts, discount guarantees, and performance metrics in the pharmacy benefit space
Experience presenting analytical findings to internal and external stakeholders, including non-technical audiences
Knowledge of healthcare regulations, including HIPAA and transparency regulations
Bachelor's degree in a relevant field (e.g., Data Science, Statistics, Healthcare Administration, Finance, Business Analytics)
Benefits
Medical
Vision
Dental
401(k) with company match
Company paid life insurance
STD
LTD
Generous PTO policy starting at 18 days per year
10 paid holidays
2 floating holidays
Company
FRP of Florida
FRP of Florida, a Foundation Risk Partners Company, has been serving the Daytona Beach, Ormond Beach and surrounding areas for over six decades.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase