Associate Consultant, Pharmacy Benefits Financial Analytics
New York, NY ยท Remote
$84K - $105K/yr
Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing ... Remote
New York, NY ยท Remote
$84K - $105K/yr
Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing ... Remote
New York, NY ยท Remote
$84K - $105K/yr
Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing ... Remote
Rocky River, OH ยท On-site
$16.50 - $21.25/hr
A Brief Overview The Medical Assistant provides clinical and administrative support in an outpatient setting. This role includes but not limited to rooming patients, obtaining vital signs ...
Rocky River, OH ยท On-site
$16.50 - $21.25/hr
A Brief Overview The Medical Assistant provides clinical and administrative support in an outpatient setting. This role includes but not limited to rooming patients, obtaining vital signs ...
A Brief Overview The Pharmacy Business Operations Analyst responsible for monitoring, analyzing ... Maintain issue logs for disputed claims, payment delays, data mismatches, and manufacturer-specific ...
A Brief Overview The Pharmacy Business Operations Analyst responsible for monitoring, analyzing ... Maintain issue logs for disputed claims, payment delays, data mismatches, and manufacturer-specific ...
$59.50 - $71.75/hr
Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for ... The CPS is skilled at reviewing pharmacy and medical claims; interacting with, assessing and ...
$59.50 - $71.75/hr
Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for ... The CPS is skilled at reviewing pharmacy and medical claims; interacting with, assessing and ...
FairosRx Clinical Associate (On-Site or Remote) - Pharmacy Technician Certification Required The ... Process pharmacy claims and resolve claim adjudication issues. * Research member eligibility ...
FairosRx Clinical Associate (On-Site or Remote) - Pharmacy Technician Certification Required The ... Process pharmacy claims and resolve claim adjudication issues. * Research member eligibility ...
New York, NY ยท Remote
$84K - $105K/yr
Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing ... Remote
New York, NY ยท Remote
$84K - $105K/yr
Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing ... Remote
Pittsburgh, PA ยท On-site +1
Processes pharmacy claims on the patient's behalf through a pharmacy benefit system. * Verifies ... Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx ...
Quick apply
Pittsburgh, PA ยท On-site +1
Processes pharmacy claims on the patient's behalf through a pharmacy benefit system. * Verifies ... Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx ...
Portland, OR ยท Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Quick apply
Portland, OR ยท Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Charlotte, NC ยท Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Quick apply
Charlotte, NC ยท Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
TX ยท Remote
$17.59 - $18.49/hr
Process 3rd party claims adjudication (insurance claims rejections). * Coordinate and triage all ... Remote
TX ยท Remote
$17.59 - $18.49/hr
Process 3rd party claims adjudication (insurance claims rejections). * Coordinate and triage all ... Remote
Dallas, TX ยท Remote
$13.08 - $22.89/hr
... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ... Remote
Quick apply
Dallas, TX ยท Remote
$13.08 - $22.89/hr
... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ... Remote
Lawrenceville, GA ยท Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Quick apply
Lawrenceville, GA ยท Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Liverpool, NY ยท Remote
$52K - $85K/yr
This is a remote role, supporting the NY office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Quick apply
Liverpool, NY ยท Remote
$52K - $85K/yr
This is a remote role, supporting the NY office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
TX ยท Remote
$17.59 - $18.49/hr
Process 3rd party claims adjudication (insurance claims rejections). * Coordinate and triage all ... Remote
TX ยท Remote
$17.59 - $18.49/hr
Process 3rd party claims adjudication (insurance claims rejections). * Coordinate and triage all ... Remote
Burlington, MA ยท On-site +1
Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...
Burlington, MA ยท On-site +1
Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...
Burlington, MA ยท On-site +1
Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...
Burlington, MA ยท On-site +1
Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...
Portland, OR ยท Remote
$73K - $113K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Quick apply
Portland, OR ยท Remote
$73K - $113K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...
Provider Enrollment Specialist - Remote US It takes great medical minds to create powerful ... Utilize claims systems, reporting tools, and operational documentation to review pharmacy claims ...
Provider Enrollment Specialist - Remote US It takes great medical minds to create powerful ... Utilize claims systems, reporting tools, and operational documentation to review pharmacy claims ...
Austin, TX ยท Remote
$48K - $120K/yr
Pharmacy claims adjudication experience * Pharmacy billing experience * Healthcare or pharmacy operations exposure * QA testing within transactional systems This is a remote/WFH position currently ...
Austin, TX ยท Remote
$48K - $120K/yr
Pharmacy claims adjudication experience * Pharmacy billing experience * Healthcare or pharmacy operations exposure * QA testing within transactional systems This is a remote/WFH position currently ...
$15.38 - $18.16
8% of jobs
$18.16 - $20.94
11% of jobs
$22.09 is the 25th percentile. Wages below this are outliers.
$20.94 - $23.71
13% of jobs
$23.71 - $26.49
17% of jobs
The median wage is $26.83 / hr.
$26.49 - $29.26
8% of jobs
$29.26 - $32.04
9% of jobs
$34.50 is the 75th percentile. Wages above this are outliers.
$32.04 - $34.81
9% of jobs
$34.81 - $37.59
9% of jobs
$37.59 - $40.36
3% of jobs
$40.36 - $43.14
5% of jobs
$43.14 - $45.91
6% of jobs
$15
$29
$45

$84K - $105K/yr
Full-time
Re-posted 10 days ago
Are you passionate about pharmacy benefits financial analytics and data? Does providing trusted advice that improves people's lives resonate with you?
We are recruiting for an Associate Consultant, Pharmacy Benefits Financial Analytics for our Pharmacy Benefits Consulting Practice. This position affords an immediate opportunity to apply your financial acumen, analytical, and problem-solving skills and your expertise with pharmacy benefits to contribute to the development of solutions to challenging client issues. The Associate Consultant will work under the guidance and mentoring of talented senior level experts and will work independently and on teams to deliver pharmacy benefits financial analytics consulting services to a broad and diverse range of clients.
The Roleย
ย ย ย ย ย ย ย Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness
ย ย ย ย ย ย ย Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations.
ย ย ย ย ย ย ย Technical analysis of rebates and contracting pricing strategies.
ย ย ย ย ย ย ย May lead or assist with managing pharmacy benefits Requests For Proposals ("RFP's) for our clients within scope, profitability and productivity targets.
ย ย ย ย ย ย ย Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools
ย ย ย ย ย ย ย Support business growth strategies and marketing initiatives to assist Leaders in business development and cross-selling efforts. Contribute to the continual development of resources, efficiencies and quality.
ย ย ย ย ย ย ย Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients.
ย ย ย ย ย ย ย 4 years ofย medical or pharmacy benefits financial administration and/or audit experience to include significant exposure to tools relevant to analysis of large data sets and complex financial analysis. Previous actuarial expertise is a plus.
ย ย ย ย ย ย ย Undergraduate degree in business, actuarial science, or related discipline. Advanced degree preferred.
ย ย ย ย ย ย ย Previous Medical or Pharmacy Claims Auditing,ย Benefits Contracting, and/or Claims Processing experience preferred.
ย ย ย ย ย ย ย Strong demonstrated knowledge and familiarity with SQL. Experience with Python a plus.
ย ย ย ย ย ย ย Demonstrated project management and client servicing/relationship management skills.
ย ย ย ย ย ย ย Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results.
ย ย ย ย ย ย ย Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences.
ย ย ย ย ย ย ย Passionate attention to detail and quality.
Join Segal:
If your qualifications align closely with what we have described, we encourage you to apply. Your unique background and skills matter because at Segal, we believe that different experiences and perspectives drive innovation and excellence. We are committed to creating a fair and transparent hiring process and all hiring decisions will be merit driven. If you require accommodation during the interview, please let us know. Thank you for considering Segal. We are excited to learn more about you!
About Segal and its Total Rewards Program:
Segal is a privately owned, leading North American employee benefit, human resources and investment management consulting firm withย over 80 years of historyย providing trusted advice that improves lives. Clients include public and private corporations, multiemployer trust funds, public sector entities, higher education institutions, institutional advisors, among many others.
Segal's total rewards are part of what makes Segalย a special place to work. The current salary range for this position is $84,000 - $105,000.
#LI-Remote