Remote Claims Associate Jobs in New York (NOW HIRING)

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 Role 

        Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness

        Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations.

        Technical analysis of rebates and contracting pricing strategies.

        May lead or assist with managing pharmacy benefits Requests For Proposals ("RFP's) for our clients within scope, profitability and productivity targets.

        Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools

        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.

        Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients.

        4 years of 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.

        Undergraduate degree in business, actuarial science, or related discipline. Advanced degree preferred.

        Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing experience preferred.

        Strong demonstrated knowledge and familiarity with SQL. Experience with Python a plus.

        Demonstrated project management and client servicing/relationship management skills.

        Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results.

        Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences.

        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 with over 80 years of history 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 Segal a special place to work. The current salary range for this position is $84,000 - $105,000.

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