Overview As a Pharmacy Benefits Audit Operations Analyst, you will support 20+ concurrent audits by analyzing pharmacy claims, eligibility, rebates, and pricing data using Excel and SQL, while coordinating data requests and deliverables with clients, PBMs, and other vendors. You will load, clean, and validate data and help prepare exhibits for consultants. You'll lead sessions, track progress, and ensure timely, accurate deliverables. This role sits in Milliman's San Diego Health practice, with flexibility for remote work and exposure to healthcare analytics at scale. You'll contribute to improving client insights and audit outcomes through meticulous data work and cross-functional collaboration. Compensation / BenefitsMedical, Dental and Vision401(k) with company matchingDiscretionary Bonus ProgramPaid Time Off (PTO)HolidaysPaid Parental Leave ResponsibilitiesLoad, clean, and validate claims, eligibility, pharmacy, and rebate data from PBMs, clients, and vendorsWrite/modify SQL queries and Excel models to summarize data and reconcile totals with PBM reportingManage day-to-day execution of 20+ concurrent audit engagements, including schedules and due datesCoordinate with clients, PBMs, and vendors to resolve data/reports questions during auditsPrepare data requests, track responses, and escalate delays affecting timelinesLead internal and client working sessions with agendas, notes, and action itemsMonitor workload and capacity to align staffing with project demandReview deliverables for completeness, consistency, and formatting before client release Key requirementsBachelor's degree or equivalent combination of education and experience2+ years of relevant experience in data analysis, project management, or consultingPharmacy benefits or PBM industry experience preferredPMP, CAPM, or pharmacy credentials preferredExperience managing multiple projects with limited oversightExperience interacting with clients, vendors, or senior stakeholdersProficiency in Excel, PowerPoint, Outlook, Planner, OneNoteStrong written and verbal communication; comfortable presenting to leadershipFamiliarity with claims data or basic SQL a plushighly organized with strong follow-throughindependent judgment and accountabilitycollaborative and team-orientedExcelSQL (basic)PowerPoint
Not specified in the original listing.
Not specified in the original listing.
