Pharmacy Benefits Analytics Manager (CMH Health)

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Millimans CMH Health practice is seeking aPharmacy Benefits Analytics Managerto work in a fast-growing area of the Health practice. This role will involve accurately diagnosing client problems developing project proposals refining project strategy outlining a project plan managing internal resources and presenting the results to the client. The Pharmacy Benefits Analytics Manager may assist clients such as employers health plans PBMs and pharmaceutical companies.

Who WeAre

Independent for 75 years Milliman delivers market-leading services and solutions to clients worldwide. Today we are helping companies take on some of the worlds most critical and complex issues including retirement funding and healthcare financing risk management and regulatory compliance data analytics and business transformation.

Job Responsibilities

• Provide qualitative and financial evaluations of PBM contracts including pricing and fee schedules
• Assist with developing models to conduct detailed analyses of pharmacy data including pharmacy claims eligibility data etc.
• Acquire standardize and merge various data sets to provide summarized reports
• Contribute to drafting proposals presentations exhibits RFPs and reports
• Manage client relationships projects assignments presentations and deliverables
• Be able to work independently but also actively lead teams utilizing pharmacy data expertise on various projects

Potential projects could include

• Trend Related Modeling and Analysis
• Analyzing pharmacy data to provide innovative pricing solutions
• Medicare Part D Medicaid and Commercial Pharmacy Formulary and Pricing Analysis
• Medicare Part D Fraud Waste and Abuse Monitoring
• Evaluation of New Product Pipeline (e.g. evaluating impact of agents for NASH oncology drugs etc.)
• Pharmaceutical Company Strategy Support (e.g. analytics to support formulary negotiations and modeling)

Minimum requirements

• Bachelors degree required
• A minimum of four years of experience in the pharmacy industry (ex. PBM health plan retail pharmacy etc.)
• Extensive knowledge of pharmacy claims reimbursement (ex. WAC AWP discounts rebates etc.)
• Experience with handling large pharmacy claims datasets
• Experience creating models and reports focused on opportunities for formulary management prior authorizations drug pricing etc.
• Strong business software capabilities especially with Microsoft office tools (Excel) and data analysis technologies (SAS/SQL)

Competencies and Behaviors that Support Success in this Role

• Analytical thinking and the ability to evaluate analyses for downstream impact
• Creative problem solving and analytical skills.
• Superior verbal and written communication skills
• Client focused and results oriented
• Ability to work independently and in a team environment
• Self-motivated creative and resourceful

The Team

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issuesfrom assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted comprehensive set of cost guidelines in the industry.

Through a team of professionals ranging from actuaries to clinicians technology specialists to plan administrators we offer unparalleled expertise in employee benefits investment consulting healthcare life insurance and financial services and property and casualty insurance.

Salary:

The overall salary range for this role is $117500 - $222985.

For candidates residing in:

Alaska California Connecticut Illinois Maryland Massachusetts New Jersey New York City Newark San Jose San Francisco Pennsylvania Virginia Washington or the District of Columbia:

• $135125 - $222985

All other states:

• $117500 - $193900

A combination of factors will be considered including but not limited to education relevant work experience qualifications skills certifications etc.

Location:It is preferred that candidates work on-site at ourBrookfield WI Chicago IL or Hartford CT office howeverremote candidates will be considered.

The expected application deadline for this job is May 25 2026.

Benefits

We offer a comprehensive benefits package designed to support employees health financial security and well-being. Benefits include:

• Medical Dental and Vision Coverage for employees dependents and domestic partners.
• Employee Assistance Program (EAP) Confidential support for personal and work-related challenges.
• 401(k) Plan Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program Recognizing employee contributions.
• Flexible Spending Accounts (FSA) Pre-tax savings for dependent care transportation and eligible medical expenses.
• Paid Time Off (PTO) Begins accruing on the first day of work. Full-time employees accrue 15 days per year and employees working less than full-time accrue PTO on a prorated basis.
• Holidays A minimum of 10 observed holidays per year.
• Family Building Benefits Includes adoption and fertility assistance.
• Paid Parental Leave Up to 12 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability Fully paid by Milliman.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation national origin disability or status as a protected veteran.

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Required Experience:

Manager