Senior Analyst Pharmacy (PBM)

Atlanta, GA, US • Posted 6 hours ago • Updated 6 hours ago
Full Time
On-site
$120,000 - $140,000/yr
Fitment

Dice Job Match Score™

🔗 Matching skills to job...

Job Details

Skills

  • PBM
  • Pharmacy Benefit Management
  • Benefits Management
  • Data Validation
  • HIPAA
  • JIRA
  • Medicare
  • Pharmacy
  • Rally
  • Requirements Elicitation
  • Workflow
  • Authorization

Summary

Job Role: Senior Analyst Pharmacy (PBM)

Location: Mason, OH/Atlanta, GA

Job Description:

Must Have Technical/Functional Skills

We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain. The candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end delivery pharmacy solutions.

Required Skills & Experience (8 years)

  • Strong expertise in Pharmacy Benefit Management (PBM) processes:
  • Pharmacy claims adjudication
  • Formulary and drug benefits
  • Prior authorization workflows

Membership, enrollment, and billing

  • Strong background in:
  • Requirement gathering and documentation
  • Agile methodologies
  • Stakeholder communication
  • Good understanding of HIPAA compliance.

Preferred Skills

  • Experience with PBM platforms and pharmacy ecosystems.
  • Exposure to:

o Drug claims processing and adjudication

o Pharmacy networks and pricing

o Medicare / Commercial health plans

  • Knowledge of tools:

JIRA / Rally / ALM

SQL for data validation

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10217521
  • Position Id: 9004466
  • Posted 6 hours ago
Contact the job poster
RB

Rajat Bhoyar

Recruiter @ Ztek Consulting
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