Remote Pharmacy Benefits Audit Lead & Data Analyst

Milliman, Inc; San Diego (CA); Remote; USD 79,000 - 145,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) plan

Discretionary bonus

FSA

PTO

Holidays

Family building benefits

Parental leave

Life insurance

Disability

Job summary

Milliman, Inc is seeking a Pharmacy Benefits Audit Operations Analyst to join our San Diego Health practice. This role can be performed remotely and supports 20+ concurrent engagements by analyzing pharmacy claims, eligibility, rebates, and pricing data using Excel and SQL, while coordinating data requests and deliverables with clients and vendors.

You will manage day-to-day project execution, lead client sessions, and ensure timely, accurate deliverables.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 2+ years of relevant experience in data analysis, project management, consulting, or a related field preferred.
• Pharmacy benefits or PBM industry experience preferred.
• PMP, CAPM, or pharmacy-specific credentials (e.g., CPhT) preferred.
• Demonstrated ability to manage multiple concurrent projects and deadlines with limited oversight.
• Experience interacting directly with clients, vendors, or senior stakeholders.
• Proficiency in Excel, PowerPoint, Outlook, Planner, OneNote and other project management or task-tracking systems.
• Strong written and verbal communication skills, including clear and professional client correspondence and comfort presenting to leadership.
• Familiarity with claims data or basic SQL a plus.

Responsibilities

• Load, clean, and validate claims, eligibility, pharmacy, and rebate data from PBMs, clients, and vendors.
• Write and modify basic SQL queries and Excel models to summarize claims data and reconcile totals.
• Manage day-to-day execution of 20+ concurrent audit engagements with schedules and deliverables.
• Coordinate with clients, PBMs, and vendors to resolve data questions.
• Prepare audit data requests and track responses and delays.
• Lead internal and client working sessions, with agendas and action items.
• Track workload and staffing to align with project demand.
• Review deliverables for completeness and formatting before client release.

Skills

Data analysis

Project management

Client communication

SQL

Excel

PowerPoint

Outlook

Planner

OneNote

Vendor management

Education

Bachelor's degree or equivalent

Tools

SQL

Excel

PowerPoint

Outlook

Planner

OneNote

Job description

Milliman, Inc is seeking a Pharmacy Benefits Audit Operations Analyst to join our San Diego Health practice. This role can be performed remotely and supports 20+ concurrent engagements by analyzing pharmacy claims, eligibility, rebates, and pricing data using Excel and SQL, while coordinating data requests and deliverables with clients and vendors.

You will manage day-to-day project execution, lead client sessions, and ensure timely, accurate deliverables.