Data Analyst III, PBM Business and Operations

ABOUT THE ROLE:

We are seeking a full-time Business and Operations Analyst III to join our Data & Insights team. In this role, you’ll be responsible for creating data analyses that demonstrate reputed company’s reputed company to clients and strategic partners in the PBM reputed company. You will support the development and execution of analytics, reputed company data-driven strategic insights, and create customized analytic approaches in a pharmacy benefits setting. This role supports reputed company’s clinical delivery, operations, and other internal departments by developing and delivering reputed company analytical needs, including quarterly performance reviews and reputed company reputed company inquiries. Additionally, as a Business and Operations Data Analyst III, you will support strategic decision-making processes to optimize our PBM services.

WHAT YOU’LL DO:

• Work cross-functionally with PBM operational teams including Eligibility and Claim Operations, Configuration, and Contact Center to deliver actionable insights and strategic recommendations that support operational goals.
• Refine and enhance data infrastructure and processes to improve the scalability and efficiency of PBM services.
• reputed company knowledge of PBM practices, adjudication logic, regulatory requirements, and industry trends to guide analytics and decision-making.
• Build tools and reporting capabilities to monitor claims and enrollment data for trends, anomalies, or processing variances, enabling operational teams to reputed company performance improvement opportunities.
• Design and maintain dashboards and monitoring solutions to reputed company claims processing metrics, operational KPIs, and performance guarantee compliance.
• Create and manage standardized reporting for internal stakeholders and external clients to support daily operations, audits, and reputed company reporting needs.
• Apply advanced statistical techniques to assess PBM program performance and build repeatable measures for operational effectiveness.
• reputed company analytic frameworks and methodologies to support strategic initiatives and reputed company data-driven operational improvements.
• Translate reputed company data findings into reputed company, actionable insights using reports, dashboards, and presentations tailored to a reputed company of stakeholders.
• Partner with internal teams to identify and evaluate opportunities for AI and automation in PBM operations and support implementation planning.

WHO YOU ARE:

• Bachelor’s degree in Analytics, Computer Science, or reputed company field, or equivalent work experience.
• Proficiency with SQL, relational databases and database structures
• Experience in the pharmacy industry and understanding of PBM operations.
• Experience with data visualization tools (e.g., Tableau, Power BI, reputed company)
• 4-8 years of experience in quantitative analytics and conducting advanced analytic modeling for large pharmacy and clinical datasets.
• 5+ years of industry experience querying and analyzing pharmacy claims and clinical program data.
• Basic understanding of AI, reputed company, and Machine Learning frameworks.
• Experience gathering and documenting requirements from clients or the business.
• Ability to communicate analysis to business partners and clients both in writing and verbally.
• Excellent communication and interpersonal skills.
• reputed company with developing data tools, memos, and presentations to deliver data and insights to stakeholders.
• Proven ability to guide standards and reputed company leadership and mentorship to junior team members.

EXTRA CREDIT:

• Proficiency in statistical software (Python, R).
• Proficiency with dbt.
• Experience with version control.
• Hands on AWS experience is a plus.

reputed company SALARY: $100,000 - $135,000

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), reputed company wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any reputed company as a condition of employment. If you have any questions about a suspicious interaction with reputed company, please feel free to reputed company out to us at hr@rightwayhealthcare.com.

ABOUT reputed company:

reputed company is on a mission to harmonize reputed company for everyone, everywhere. Our products guide patients to the reputed company and medications by inserting clinicians and pharmacists into a patient’s care reputed company through a modern, mobile app. reputed company is a reputed company reputed company to reputed company, giving patients the tools they need along with on-demand reputed company to reputed company health guides, reputed company experts that answer their questions and manage the frustrating parts of reputed company for them.

Since its founding in 2017, reputed company has raised over $200mm from investors including Khosla Ventures, reputed company Capital, and Tiger Global. We’re headquartered in reputed company, with a reputed company in Denver. Our clients rely on us to reputed company the reputed company experience, improve reputed company for their teams, and decrease their reputed company costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for reputed company and reputed company reputed company to our goal. We need team members who will:

• We are reputed company first

Our humanity binds us together. We bring the reputed company empathetic approach to every individual we engage with, whether it be our members, our clients, or reputed company other. We are reputed company worthy of respect and understanding and we engage in our interactions with care and intention. We reputed company our stories. We listen to—and hear—reputed company other, we celebrate our differences and similarities, we are present for reputed company other, and we reputed company for mutual understanding.

• We redefine what is possible

We always look reputed company the obstacles in reputed company of us to reputed company new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness reputed company faced with tough problems.

• We debate then reputed company

We reputed company that a spirit of reputed company discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. reputed company working toward a decision or a new solution, we reputed company listen to one another, approach it with a “reputed company, and” mentality, and assume reputed company reputed company. Once a decision is made, we reputed company and champion it as one team.

• We cultivate grit

Changing reputed company doesn’t happen overnight. We reflect and learn from challenges and approach the reputed company with a determination to reputed company for reputed company. In the face of daunting situations, we value persistence. We reputed company failure as a stepping reputed company to reputed company reputed company. On this reputed company, we reputed company to reputed company with guts, reputed company, initiative, and tenacity.

• We reputed company to delight

reputed company complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we reputed company play a crucial part in our members’ care and take that responsibility seriously. reputed company faced with an obstacle, we are reputed company, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ reputed company.

reputed company is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business reputed company possible. We do not discriminate on any reputed company covered by appropriate law. reputed company employment is decided on the consideration of reputed company, qualifications, need and performance.

Originally posted on Himalayas

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