Maintain accurate documentation and audit ready records in a HIPAA regulated environment.
Support analysis of utilization trends, cost drivers, and rebate reporting with guidance from senior leaders.
Translate technical and operational data into clear client ready materials.
Partner with Clinical, Operations, Technology, Finance, and Call Center teams to ensure seamless delivery.
Identify operational inefficiencies and recommend process improvements that enhance accuracy and client experience.
Requirements
Bachelor’s degree in business, healthcare, or related field, or equivalent experience.
3 to 5 years of PBM, pharmacy benefit, or closely related health benefits experience.
Experience supporting employer clients in an account management or implementation capacity.
Working knowledge of PBM operations including claims adjudication, eligibility, billing, reporting, and plan design fundamentals.
Familiarity with rebate structures, specialty medications, and employer pharmacy cost drivers, with ability to escalate complex strategic or clinical questions.
Strong organizational skills with the ability to manage multiple priorities and deadlines.
High attention to detail and commitment to accuracy.
Excellent written and verbal communication skills with ability to translate technical information into clear client updates.
Comfort working in a compliance sensitive, HIPAA regulated environment.
Proficiency in Microsoft Office and CRM or project management systems.
Experience using AI or automation tools to improve reporting accuracy and workflow efficiency.
Benefits
Flexible time off, including 12 paid holidays
401k match plus 100% employer paid medical, dental, and vision premiums