Remote PBM Compliance & Data Reporting Analyst

Confidio, LLC.; Georgia; Remote; USD 62,000 - 78,000; Full time

Benefits offered by this job

Remote work

Health insurance

401(k) with match

Tuition reimbursement

Paid parental leave

Pet insurance

Job summary

Confidio, LLC. is seeking a PBM Compliance & Reporting Analyst to support federal and state regulatory reporting for PBM programs.

You will prepare, validate, and submit data for CMS, DOI, and other filings while ensuring audit-ready documentation and timely responses to inquiries. You will collaborate with Legal Operations, Data Operations, IT, Pharmacy Operations, and PBM partners, using Excel and internal systems to track KPIs, dashboards, and trends.

Qualifications

• 1–3 years of experience in PBM operations, healthcare compliance, regulatory reporting, or data operations.
• Proficiency in Excel (VLOOKUP/XLOOKUP, Pivot Tables, data validation, reconciliation, and cleansing).
• Strong analytical, organizational, and communication skills; able to manage multiple projects and deadlines with high attention to detail.

Responsibilities

• Support federal and state regulatory reporting, including CMS Section 111 and RxDC filings.
• Collect, prepare, validate, and submit data for regulatory filings and renewals.
• Maintain audit-ready documentation and respond to inquiries, audits, and reviews.
• Review and validate eligibility, demographic, and claims data used in reporting; reconcile data and document resolutions.
• Monitor compliance workflows, maintain logs and inventories, and support audits.

Skills

PBM operations

Excel

Analytical skills

Organizational skills

Communication skills

Education

Bachelor's degree preferred

Tools

Jira

Confluence

PBM Source

SQL

Python

SAS

Snowflake

Job description

Confidio, LLC. is seeking a PBM Compliance & Reporting Analyst to support federal and state regulatory reporting for PBM programs.

You will prepare, validate, and submit data for CMS, DOI, and other filings while ensuring audit-ready documentation and timely responses to inquiries. You will collaborate with Legal Operations, Data Operations, IT, Pharmacy Operations, and PBM partners, using Excel and internal systems to track KPIs, dashboards, and trends.