Remote Pharmacy Benefit Strategist — Formulary & Savings

TalentLNX LLC; United States; Hybride; USD 75 000 - 92 000; Plein temps

Résumé du poste

TalentLNX LLC is seeking a Pharmacy Benefit Analyst to transform pharmacy claims data into formulary strategy, specialty drug decisions, and measurable plan savings. This remote US-based role is full-time and requires PBM analytics expertise to influence formulary design and benefit performance.

The ideal candidate will build financial models for tier placements, assess rebates, biosimilars, and price benchmarks, and present findings to plan sponsors and committees.

Qualifications

• Bachelor’s degree in Pharmacy, Health Informatics, Finance, Statistics, Business, or a related field required.
• Minimum of 3 years of experience in pharmacy benefit management, healthcare analytics, or health plan operations required.
• Advanced Excel skills including pivot tables, lookups, and financial modeling required.
• Proficiency in SQL required; SAS, Tableau, or Power BI experience preferred.
• Working knowledge of formulary management including therapeutic reviews, utilization management programs, and tier architecture required.

Responsabilités

• Extract and analyze pharmacy claims data to identify high-cost utilization patterns and savings opportunities.
• Prepare drug review packages, therapeutic class analyses, and financial models for formulary committee review.
• Model the financial impact of formulary changes, tier placements, and prior authorization criteria using claims and pricing data.
• Evaluate generic substitution and biosimilar opportunities, quantifying savings and building adoption business cases.
• Produce recurring pharmacy benefit performance reporting covering spend trends, utilization rates, and compliance metrics.
• Respond to analytical requests from account, clinical, and executive teams with documented, reproducible deliverables.
• Monitor CMS Part D, Medicaid PDL, and USPSTF updates and assess formulary compliance implications.
• Analyze specialty drug utilization trends and Limited Distribution Drug channel performance to identify optimization opportunities.
• Support rebate reconciliation by mapping formulary positions to contracted lists and validating eligibility.

Connaissances

Advanced Excel

SQL

Financial modeling

Data visualization

Pharmacy benefit management

Communication skills

Formation

Bachelor's degree

Outils

SAS

Tableau

Power BI

Description du poste

TalentLNX LLC is seeking a Pharmacy Benefit Analyst to transform pharmacy claims data into formulary strategy, specialty drug decisions, and measurable plan savings. This remote US-based role is full-time and requires PBM analytics expertise to influence formulary design and benefit performance.

The ideal candidate will build financial models for tier placements, assess rebates, biosimilars, and price benchmarks, and present findings to plan sponsors and committees.