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Milliman · 2 days ago

Senior Pharmacy Benefits Analyst (CMH Health)

Windsor, CT

Full-time

Hybrid

Mid, Senior Level

$108K/yr - $178K/yr

2+ years exp

Milliman is an independent company delivering market-leading services and solutions to clients worldwide for 75 years. They are seeking a Senior Pharmacy Benefits Analyst to support clients in navigating the complex pharmacy benefits management industry and provide data-driven solutions to improve or lower the cost of care.

AnalyticsConsultingInsurTech

No H1B

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

Qualification

Pharmacy claims analysisData analysis technologiesPharmacy benefits industryMicrosoft ExcelPharmacy claims reimbursementAnalytical thinkingCreative problem solvingVerbal communicationWritten communicationClient focusedTeam collaboration

Required

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

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

Preferred

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

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.