Milliman SkySail is looking for a Senior Pharmacy Benefits Analytics Manager who will be responsible for assisting Pharmacy Benefit Managers (PBMs), Pharmacies, Payers, and Brokers with contracting processes within the Pharmacy Benefit space. This person will anticipate and satisfy the needs of the client by providing guidance, insights, and suggestions on the contracts while setting and meeting the appropriate timelines. This individual will report to the Senior Pharmacy Benefits Consultant.
Who We Are
Milliman Skysail is a consulting and software-as-a-service (SaaS) unit of Milliman that leads the way in pharmacy claims analysis and reporting. SkySail Rx was founded in 2015 and acquired by Milliman in 2021. We foster an entrepreneurial work environment, reward excellence, and offer competitive compensation and benefits. We are a fast-growing company looking for a hands-on professional who enjoys rolling up their sleeves to meet goals, improve internal efficiencies, and increase Client satisfaction. The successful candidate will have an entrepreneurial spirit and the desire to learn in a rapidly growing market.
Job Responsibilities
- Provide Ad Hoc analytics related to Pharmacy Benefit pricing, such as MAC appeals, contract mapping, network identifications, pricing strategies, RFPs, claim repricing, and reconciliations
- Acquire, standardize, and merge various data sets to provide summarized reports
- Support various analytic efforts for Milliman clients by querying data and help design reporting
- Work with IT team to help test new additions to the platform
- Participate in meetings and communication with Payers, PBMs, Pharmacies, team members, and other Milliman practices
- Collaborate with Milliman Pharmacy Consultants and other Business Analysts to set and meet timelines
- Facilitate use of tools, reports, and dashboards to provide updates and analyses
- Appropriately engage other business units and departments
- Identify growth / new opportunities for team to bring to clients for lead generation
- Be able to work independently, but also actively lead teams utilizing pharmacy data expertise on various projects
- Manage client relationships, projects, assignments, presentations, and deliverables
Minimum Requirements
- Bachelor’s degree (in any field) preferred, but not required
- Four years of related professional experience in PBM industry or PBM consulting
- Understanding of PBM contracting and underwriting
- Extensive knowledge of pharmacy claims reimbursement (ex. WAC, AWP, discounts, rebates, etc.)
- Strong command of Excel (pivot tables) as well as Outlook, Word, and PowerPoint
- Working knowledge of querying languages, SQL preferred.
- Willing and able to travel nationwide
Competencies and Behaviors that Support Success in this Role
- Analytical thinking and the ability to evaluate analyses for downstream impact
- Demonstrated “let’s find a way to do it” attitude – no task is too big or too small
- Exceptional communication skills (both verbal and written)
- Thrive in an entrepreneurial and collaborative culture
- Considerate when listening to issues or needs, thoughtful in responding
- Relies on experience and judgment to plan and accomplish goals
- Creative and collaborative in solving problems
- Quick thinking
- Constructive, resourceful
- Strong multi-tasking and organization skills
The Team
Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues-from 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: For this position, we are offering $80,000 to $125,000 annually, depending on relevant factors, including but not limited to education, work experience, qualifications, certifications, location, etc.
Location: This role is based out of the Milliman SkySail office, but candidates can work remotely anywhere in the United States.
Milliman Benefits:
We offer competitive benefits which include the following based on plan eligibility:
- Medical, dental and vision coverage for employees and their dependents, including domestic partners
- A 401(k) plan with matching program, and profit sharing contribution
- Employee Assistance Program (EAP)
- A discretionary bonus program
- Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue
- 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
- Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
- A minimum of 8 paid holidays
- Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
- Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)