Gravie

We partner with brokers across the nation to improve the way people purchase and access healthcare.

Senior Pharmacy Analyst

AnalystAnalystFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

67 days ago

Salary

$103.5K - $172.5K / year

5 yrs expEnglishSQLTableau

Job Description

• Conduct rigorous quantitative and qualitative analysis of our pharmacy offering, including utilization trends, clinical outcomes and cost drivers; synthesize findings into clear insights and recommendations. • Develop and maintain dashboards and reporting that translates complex pharmacy data into actionable insights for leadership, ensuring accuracy and transparency. • Monitor PBM performance against contractual guarantees, including rebates, administrative fees, pricing and discount guarantees, network access, and operational service levels; identify variances and support issue resolution. • Provide analytical oversight of additional pharmacy vendors, ensuring performance aligns with service agreements, clinical standards, and financial expectations. • Analyze overall pharmacy spend and conduct deep dives into utilization and trend drivers, including specialty drug impact, to identify clinical optimization and cost-containment opportunities. • Support cost projections, forecasting, and ROI analysis for strategic pharmacy initiatives, benefit design changes, coverage updates and other program changes; partner closely with Actuarial and Finance on budgeting and financial oversight. • Serve as the primary subject-matter expert for PBM data, reporting, and data validation, ensuring the integrity and reliability of vendor-provided information. • Lead pharmacy regulatory reporting processes and support compliance with all applicable federal and state requirements. • Partner with cross-functional teams including Finance, Medical Economics, Clinical, Account Management, Compliance and others.

Job Requirements

  • 5+ years experience in pharmacy analytics, PBM oversight, consulting, or a related area
  • Expertise in analyzing pharmacy claims data, drug cost trends and formulary utilization
  • Deep understanding of PBM contracts, pricing methodologies and rebate structures
  • Advanced proficiency in Excel, SQL and Tableau
  • Ability to interpret complex pharmacy data and communicate insights clearly

Benefits

  • alternative medicine coverage
  • generous PTO
  • up to 16 weeks paid parental leave
  • paid holidays
  • 401k program
  • transportation perks
  • education reimbursement
  • paid paw-ternity leave

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