Foundation Risk Partners

We Protect What Matters Most To You

Pharmacy Benefit Financial Analyst

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

18 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglish

Job Description

• 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

Job 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!

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