Senior Remote PBM Network Analytics Lead

OHB System AG; Reston (VA); On-site; USD 90,000 - 130,000; Part time

Job summary

JobRx, Inc. is seeking a Lead PBM Network Analyst to help monitor pharmacy network performance and improve service quality. This 100% remote position calls for an individual with over 8 years of experience in systems analysis within healthcare environments. Candidates will engage with stakeholders to ensure compliance with standards and improve internal operations.

The ideal candidate has a deep understanding of pharmacy networks and a proven track record in data-driven decision making and operational optimization.

Qualifications

• 8+ years of systems/technical analysis experience in pharmacy network performance monitoring.
• Experience leading technical analysis and contracting with multiple entities/networks.
• Strong skills in network performance analysis and operational optimization.

Responsibilities

• Monitor key performance metrics such as claims volume and member satisfaction.
• Support credentialing and re-contracting processes.
• Ensure alignment of network operations with service-level standards.

Skills

Systems/technical analysis

Network performance analysis

Provider relationship management

Data-driven decision making

Operational optimization

Cross-functional collaboration

Education

Bachelor's degree in a related field

Job description

JobRx, Inc. is seeking a Lead PBM Network Analyst to help monitor pharmacy network performance and improve service quality. This 100% remote position calls for an individual with over 8 years of experience in systems analysis within healthcare environments. Candidates will engage with stakeholders to ensure compliance with standards and improve internal operations.

The ideal candidate has a deep understanding of pharmacy networks and a proven track record in data-driven decision making and operational optimization.