PBM Pricing & Reimbursement Network Analyst

TWG Talent Solutions; United States; On-site; USD 65,000 - 95,000; Full time

Job summary

TWG Talent Solutions represents a rapidly growing PBM seeking an Analyst, Network Operations to support pharmacy network pricing, plan configuration, MAC updates, reimbursement analysis, and pricing quality assurance.

This hands-on role requires strong analytical skills and experience working with PBM, pharmacy, claims, pricing, or reimbursement data, with attention to detail and the ability to work independently.

Qualifications

• 2+ years of experience in PBM operations or healthcare pricing/reimbursement
• Experience with pricing/reimbursement and benefit configuration
• Strong Excel and data analysis of claims/pricing

Responsibilities

• Support pharmacy network pricing and plan configuration
• Perform MAC updates and reimbursement analysis
• Ensure pricing quality assurance
• Analyze pricing, reimbursement, and performance data

Skills

Excel skills

Analytical skills

Communication

Tools

SQL

Power BI

Tableau

Databricks

Domo

Job description

TWG Talent Solutions represents a rapidly growing PBM seeking an Analyst, Network Operations to support pharmacy network pricing, plan configuration, MAC updates, reimbursement analysis, and pricing quality assurance.

This hands-on role requires strong analytical skills and experience working with PBM, pharmacy, claims, pricing, or reimbursement data, with attention to detail and the ability to work independently.