Pharmacy Benefit Financial Analyst

Role Overview

• 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.
• Remote position with light travel

Requirements

• 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.
• Familiarity with pharmacy claims adjudication systems and PBM pricing models (preferred).
• 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.
• Working knowledge of rebate contracts, discount guarantees, and performance metrics in the pharmacy benefit space (preferred).
• Experience presenting analytical findings to internal and external stakeholders, including non-technical audiences (preferred).
• Knowledge of healthcare regulations, including HIPAA and transparency regulations (preferred).

Benefits

• FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental.
• We offer a 401(k) with company match.
• Company paid life insurance.
• STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!