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Medicare Part D Operations Analyst Jobs (NOW HIRING)

Capital Rx

Formulary Operations Pharmacist

Charlotte, NC · On-site

$57 - $68.25/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

RELI Group

Part D Sr Investigator

Baltimore, MD · On-site +1

$90K - $110K/yr

The ideal candidate combines expertise in Medicare Part D, pharmaceutical pricing, and federal healthcare regulations with strong analytical, investigative, communication, and project management ...

Capital Rx

Formulary Operations Pharmacist

Manhattan, NY · On-site

$64.25 - $77.25/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

Capital Rx

Formulary Operations Pharmacist

Manhattan, NY · On-site

$64.25 - $77.25/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

Judi Health

Formulary Operations Pharmacist

Charlotte, NC · On-site

$57 - $68.25/hr

Supports the development, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

Capital Rx

Formulary Operations Pharmacist

Charlotte, NC · On-site

$57 - $68.25/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

A-Line Staffing Solutions

Be Seen First

Remote Pharmacist {175626}

Indianapolis, IN · Remote

$53/hr

A-Line is seeking a licensed Pharmacist to support Medicare Part D members and healthcare providers in a remote Clinical Pharmacist Advisor role. This position is responsible for reviewing pharmacy ...

New

Capital Rx

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

RELI GROUP INC

Part D Sr Investigator

Baltimore, MD

$90K - $110K/yr

The ideal candidate combines expertise in Medicare Part D, pharmaceutical pricing, and federal healthcare regulations with strong analytical, investigative, communication, and project management ...

RELI GROUP INC

Part D Sr Investigator

Baltimore, MD · On-site

$90K - $110K/yr

The ideal candidate combines expertise in Medicare Part D, pharmaceutical pricing, and federal healthcare regulations with strong analytical, investigative, communication, and project management ...

Judi Health

Formulary Operations Pharmacist

Charlotte, NC · On-site

$57 - $68.25/hr

Supports the development, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

Capital Rx

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

Supports thedevelopment, implementation, maintenance, and quality control of Medicare Part D ... Identifies opportunities for automation and collaborates with Analytics to streamline processes and ...

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Medicare Part D Operations Analyst information

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$33

$56

How much do medicare part d operations analyst jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for medicare part d operations analyst in the United States is $33.75, according to ZipRecruiter salary data. Most workers in this role earn between $24.04 and $40.38 per hour, depending on experience, location, and employer.

What is a Medicare Part D Operations Analyst?

A Medicare Part D Operations Analyst is a professional who supports the administration and management of Medicare Part D prescription drug plans. They analyze data, monitor compliance with government regulations, and help optimize operational processes to ensure beneficiaries receive accurate and timely coverage. Their tasks often include evaluating plan performance, resolving issues related to claims or enrollment, and collaborating with other departments to implement regulatory changes. This role is crucial for maintaining the efficiency and compliance of Medicare Part D services.

What are some of the most common challenges faced by a Medicare Part D Operations Analyst, and how can they be addressed?

Medicare Part D Operations Analysts often encounter challenges related to navigating complex regulatory requirements and ensuring compliance with CMS guidelines. Keeping up with frequent policy updates and interpreting how they impact operational processes requires strong analytical skills and attention to detail. Collaborating closely with cross-functional teams, such as compliance, pharmacy benefit management, and IT, is essential to implement process improvements and resolve issues efficiently. Proactively seeking continuing education and leveraging internal resources can help analysts stay current and effective in their roles.

What are the key skills and qualifications needed to thrive as a Medicare Part D Operations Analyst, and why are they important?

A Medicare Part D Operations Analyst typically needs a strong background in healthcare administration, data analysis, and knowledge of Medicare regulations, often supported by a bachelor’s degree in a related field. Familiarity with pharmacy benefit management (PBM) systems, claims processing software, and regulatory compliance tools is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills for this position. These capabilities are crucial for ensuring compliance, optimizing operations, and supporting accurate and efficient delivery of Medicare Part D services.

What are popular job titles related to Medicare Part D Operations Analyst jobs?

For Medicare Part D Operations Analyst jobs, the most frequently searched job titles are:

Infographic showing various Medicare Part D Operations Analyst job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $70,210 per year, or $33.8 per hour.

Senior Legal Counsel - Medicare, Healthcare Regulatory & Contracting

Charlotte, NC • On-site

Judi Health
See more jobs at Judi Healthexternal

$136K - $185K/yr

Full-time

Medical

Re-posted 2 days ago

Key responsibilities

  • Provide legal advice regarding Medicare Part D, health insurance, and other federal healthcare program requirements.

  • Draft, review, negotiate, and advise on healthcare and commercial agreements, including rebate and delegation agreements, client agreements, and network and managed care contracts.

  • Support regulatory compliance efforts by advising on CMS regulations, assisting with audits and investigations, and supporting compliance initiatives.

Job description

About Judi Health
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Location: Hybrid (at least 3 days per week in our NYC, Denver, or Charlotte offices)
Position Summary
We are seeking an experienced and business-oriented healthcare attorney to join our Legal team. This role will serve as a strategic legal advisor to senior leadership and business partners, providing legal support across Medicare Part D, healthcare regulatory compliance, contracting, and operational initiatives.
The successful candidate will have deep experience with Medicare, health insurance and healthcare laws, substantial healthcare contracting expertise, and the ability to provide practical legal advice that balances regulatory requirements with business objectives. This attorney will play a key role in supporting a rapidly growing healthcare organization operating in a highly regulated environment.
Position Responsibilities:
Medicare & Healthcare Regulatory Compliance/Contracting
  • Provide legal advice regarding Medicare Part D, health insurance and other federal healthcare program requirements.
  • Counsel business teams on CMS regulations, guidance, audits, reporting obligations, and regulatory enforcement matters.
  • Monitor and interpret changes in healthcare laws and regulations and advise leadership regarding operational impacts.
  • Support regulatory change management initiatives and implementation of new legal requirements.
  • Advise on regulatory risks associated with business operations, products, and strategic initiatives.
  • Assist with government audits, investigations, corrective action plans, and responses to regulatory inquiries.
  • Draft, review, negotiate, and advise on a broad range of healthcare and commercial agreements, including:
    • Rebate and delegation agreements
    • Client agreements
    • Network and managed care contracts
  • Develop contracting standards, templates, negotiation playbooks, and risk management processes.
  • Partner with procurement, operations, compliance, and business teams to facilitate efficient contract review and execution.
  • Support vendor selection, due diligence, onboarding, and ongoing oversight activities.
  • Provide legal guidance on:
    • False Claims Act
    • Anti-Kickback Statute
    • Stark Law
    • Medicare and Medicaid requirements
    • State insurance and healthcare regulations
  • Support compliance investigations, policy development, training initiatives, and operational audits.
  • Provide practical, solution-oriented legal guidance aligned with business objectives.
  • Identify legal risks and develop creative, operationally feasible solutions.
  • Support corporate growth initiatives, product development, and strategic transactions as needed.

Required Qualifications
  • Juris Doctor (J.D.) from an accredited law school.
  • Active license and good standing in at least one U.S. state.
  • 8+ years of legal experience in a law firm, healthcare organization, health plan, PBM, managed care organization, or combination thereof.
  • Significant experience with Medicare Part D regulatory requirements.
  • Extensive healthcare contracting experience, including complex commercial and vendor agreements.
  • Strong knowledge of federal and state healthcare laws and regulations.
  • Experience advising cross-functional business teams in a fast-paced environment.
  • Excellent drafting, negotiation, analytical, and communication skills.
  • Demonstrated ability to manage multiple priorities independently.

Preferred Qualifications:
  • Experience supporting Medicare Advantage plans, PBMs, health plans, TPAs, or managed care organizations.
  • Experience with CMS audits, corrective action plans, and regulatory examinations.
  • Knowledge of delegated entity and FDR oversight requirements.
  • Experience with provider contracting and network management.
  • Experience with healthcare technology, data privacy, and digital health products.
  • Familiarity with Medicaid and commercial health plan regulations.
  • Experience supporting mergers, acquisitions, and strategic healthcare transactions.

Critical Competencies:
  • Medicare and CMS regulatory expertise
  • Healthcare and vendor contracting
  • Healthcare compliance and risk management
  • Business-oriented legal judgment
  • Practical problem-solving
  • Project management and organizational skills
  • Collaboration across legal, compliance, operations, and business teams

Why This Role Matters
This attorney will serve as a key member of the Legal organization, helping the company scale responsibly while navigating complex Medicare, healthcare regulatory, and contracting obligations. The role offers the opportunity to shape legal strategy, influence business decisions, and build processes that support continued growth and operational excellence.
This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
Remote, US Salary Range
$130,800-$206,500 USD
New York, NY Salary Range
$165,200-$206,500 USD
Denver, CO Salary Range
$151,200-$189,000 USD
Charlotte, NC Salary Range
$137,600-$172,000 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

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