Remote PBM Compliance & Regulatory Reporting Analyst

RxBenefits, Inc.; United States; Remote; USD 62,000 - 78,000; Full time

Benefits offered by this job

Remote first work environment

HDHP or PPO Medical plan with premiums

Dental, Vision, Short- and Long-Term D

401(k) with employer match

Tuition Reimbursement

Paid New Parent Leave

Pet insurance

Mental health benefit and EAP

Job summary

RxBenefits, Inc. is seeking a PBM Compliance & Reporting Analyst to support federal and state regulatory filings, data validation, and audit readiness across PBM programs. You will partner with Legal Operations and Pharmacy Operations to ensure timely, accurate reporting and robust documentation.

You will collect and validate data for CMS Section 111, RxDC, APCD, and DOI filings, maintain SOPs, and support internal/external audits in a fast-paced, highly regulated environment.

Qualifications

• 1–3 years of experience in PBM operations, healthcare compliance, or regulatory reporting.
• Proficiency in Excel (VLOOKUP/XLOOKUP, Pivot Tables, data validation).
• 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 (CMS 111, RxDC, APCD, DOI).
• Collect, prepare, validate, and submit data for filings and renewals.
• Maintain audit-ready documentation and support audits.
• Review data used in regulatory reporting; reconcile PBM and internal data.
• Monitor compliance workflows and support audits with documentation.
• Use PBM Source and Jira to track reporting and stakeholder communications.
• Develop and maintain SOPs and reporting guides.
• Analyze reporting trends to identify process improvements.

Skills

PBM operations

Regulatory reporting

Data analysis

Attention to detail

Education

Bachelor's degree

Tools

Excel

Jira

Confluence

PBM Source

SQL

Python

SAS

Snowflake

Job description

RxBenefits, Inc. is seeking a PBM Compliance & Reporting Analyst to support federal and state regulatory filings, data validation, and audit readiness across PBM programs. You will partner with Legal Operations and Pharmacy Operations to ensure timely, accurate reporting and robust documentation.

You will collect and validate data for CMS Section 111, RxDC, APCD, and DOI filings, maintain SOPs, and support internal/external audits in a fast-paced, highly regulated environment.