Pharmacy Benefits Analyst (San Diego)

Independent for over 70 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Who We Are

This position is for the pharmacy benefits consulting team within the Milliman’s San Diego Health Practice, which primarily serves plan sponsors that have contracted with PBMs to provide pharmacy benefits. The team helps plan sponsors work with their PBMs to deliver a high level of service to their members while also managing costs.

The Department/Team

The San Diego Health practice includes employees with diverse areas of experience and expertise in the pharmacy space. Current employees include those that have worked as actuaries, PBM analysts/consultants, pharmacists, and pharmacy technicians. Pharmacy consulting work is, by nature, constantly changing and rarely routine. Applicants must feel comfortable taking initiative and adapting to an environment that requires attention to detail, collaboration, integrity, and resourcefulness.

Role

We are looking for a Pharmacy Benefits Analyst to handle a diverse range of analytical projects to support the pharmacy benefits consulting practice.

Job Responsibilities

Key responsibilities will include the following:

• Develop and refine SQL queries to analyze client's pharmacy claims
• Conduct data-driven analyses using databases and spreadsheets, and draft written reports explaining the results
• Be able to work independently and but also participate actively as a member of various project teams, fostering the sharing of relevant information and helping to build consensus collaboratively.
• Assist with the management of data requests, project deadlines, scope of work, and client deliverables
• Assist with sales and marketing by drafting proposals, presentations, exhibits, RFPs, etc.

Qualifications

• Bachelor’s degree from an accredited institution in mathematics, statistics, data science, economics, or a related field
• Minimum of two years’ experience in the pharmacy benefits industry; advanced knowledge preferred
• Working knowledge of Excel and database/statistical analysis language (SQL or SAS)
• Proficiency with basic statistics
• Experience with pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc.
• Knowledge of claims reimbursement and how these manifest in claim adjudication and downstream analyses
• Strong technical communication skills, written and oral

Milliman Benefits

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual. We offer a competitive benefits package which includes:

• Medical, dental and vision coverage for employees and their families, including eligible domestic partners
• A 401(k) plan with matching program
• Paid Parental Leave up to 12 weeks
• Profit sharing as a discretionary contribution to employees’ retirement accounts
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason
• Adoption assistance
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short term and long term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation and applicable medical needs

Location

This position will be based out of the Milliman office in San Diego. Applicants must be willing to work onsite in the Milliman office.

Milliman is an Equal Opportunity Employer

Milliman is fully committed to the maximum utilization of all human resources and the goals of Equal Employment Opportunity and Affirmative Action. We recruit, hire, train, promote, and consider qualified applicants for employment, in all job titles without regard to age, ancestry, citizenship status, color, creed, familial status, genetic information, marital status, national origin, political ideology, race, religion, sex, sexual orientation, gender identity, status as an individual with a disability, or veteran status, including qualified disabled veterans, Armed Forces service medal veterans, recently separated veterans, and active duty wartime or campaign badge veterans; and shall not discriminate against any individual, or any other characteristic protected by law. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.