... PBMs and Unison Risk Advisors, ensuring compliance, and assisting with reporting and project ... Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings ...
... PBMs and Unison Risk Advisors, ensuring compliance, and assisting with reporting and project ... Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings ...
Pharmacy Consulting Analyst - Remote
Cleveland, OH · On-site +1
... PBMs and Unison Risk Advisors, ensuring compliance, and assisting with reporting and project ... Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings ...
Pharmacy Consulting Analyst - Remote
Cleveland, OH · On-site +1
... PBMs and Unison Risk Advisors, ensuring compliance, and assisting with reporting and project ... Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings ...
Segment Risk Specialist Sr
Columbus, OH · On-site +1
$57K - $113K/yr
Description The Senior Risk Analyst is responsible for identifying, assessing, and mitigating ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Segment Risk Specialist Sr
Columbus, OH · On-site +1
$57K - $113K/yr
Description The Senior Risk Analyst is responsible for identifying, assessing, and mitigating ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Segment Risk Specialist Sr
Columbus, OH · On-site +1
$57K - $113K/yr
Description The Senior Risk Analyst is responsible for identifying, assessing, and mitigating ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Segment Risk Specialist Sr
Columbus, OH · On-site +1
$57K - $113K/yr
Description The Senior Risk Analyst is responsible for identifying, assessing, and mitigating ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
IT Vendor Financials & Contract Manager
Dayton, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
IT Vendor Financials & Contract Manager
Dayton, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... third-party reserves including the timely submission of the monthly journal entry along with ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... third-party reserves including the timely submission of the monthly journal entry along with ...
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
IT Vendor Financials & Contract Manager
Cleveland, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
IT Vendor Financials & Contract Manager
Cleveland, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
IT Vendor Financials & Contract Manager
Columbus, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
IT Vendor Financials & Contract Manager
Columbus, OH · On-site +1
Third-Party Risk Management (TPRM) * Service Level Management (SLM) * Contract Management Pro ... Performance Analytics (PA) * Strategic Portfolio Management (SPM) * IT Service Management (ITSM ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... third-party reserves including the timely submission of the monthly journal entry along with ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... third-party reserves including the timely submission of the monthly journal entry along with ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... Prepares the calculation of accounts receivable and third-party reserves including the timely ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... Prepares the calculation of accounts receivable and third-party reserves including the timely ...
Project Manager - Remote
Cleveland, OH · On-site +1
Project Manager Location: 100% Remote Duration: 6-8 months Looking for qualified candidates for a ... Oversee the outsourcing of our clients Network Operations Center to a 3rd party. * Create Dashboard ...
Project Manager - Remote
Cleveland, OH · On-site +1
Project Manager Location: 100% Remote Duration: 6-8 months Looking for qualified candidates for a ... Oversee the outsourcing of our clients Network Operations Center to a 3rd party. * Create Dashboard ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... Prepares the calculation of accounts receivable and third-party reserves including the timely ...
**This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare ... Prepares the calculation of accounts receivable and third-party reserves including the timely ...
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Market Risk Analytics Manager
Columbus, OH · On-site +1
Production and analysis of daily market and counterparty risk reports, including risk factor and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Category Manager (hybrid)
Columbus, OH · On-site +1
Integrate Third Party Risk Management into sourcing activities by supporting the risk assessment ... Strong project management and analytical skills, results oriented. Firsthand working knowledge of ...
Category Manager (hybrid)
Columbus, OH · On-site +1
Integrate Third Party Risk Management into sourcing activities by supporting the risk assessment ... Strong project management and analytical skills, results oriented. Firsthand working knowledge of ...
Model risk management (MRM) refers to the overseeing of risk defined by potential adverse ... The MRM Senior Analyst will support the SVP MRM Officer in the implementation and execution of Bank ...
Model risk management (MRM) refers to the overseeing of risk defined by potential adverse ... The MRM Senior Analyst will support the SVP MRM Officer in the implementation and execution of Bank ...
Operations Business Analyst - Remote / Hybrid
Cleveland, OH · On-site +1
$95K - $110K/yr
Operations Business Analyst Location: Remote / Hybrid Reports to: Operations Excellence ... of risk or opportunity. Use structured problem-solving approaches to determine root causes and ...
Operations Business Analyst - Remote / Hybrid
Cleveland, OH · On-site +1
$95K - $110K/yr
Operations Business Analyst Location: Remote / Hybrid Reports to: Operations Excellence ... of risk or opportunity. Use structured problem-solving approaches to determine root causes and ...
EPIC REV CYCLE & SYS ANALYST (REMOTE)
Moraine, OH · On-site +1
The role may assist with the evaluation and implementation of new Epic modules, third-party tools, or system integrations that impact Revenue Cycle operations. The analyst may be asked to provide ...
EPIC REV CYCLE & SYS ANALYST (REMOTE)
Moraine, OH · On-site +1
The role may assist with the evaluation and implementation of new Epic modules, third-party tools, or system integrations that impact Revenue Cycle operations. The analyst may be asked to provide ...
Third Party Risk Analyst Remote information
What does a Third Party Risk Analyst do?
What are the key skills and qualifications needed to thrive as a Third Party Risk Analyst (Remote), and why are they important?
How does a Third Party Risk Analyst collaborate with other departments in a remote work setting?
What is the difference between Third Party Risk Analyst Remote vs Vendor Risk Analyst?
| Aspect | Third Party Risk Analyst Remote | Vendor Risk Analyst |
|---|---|---|
| Credentials | Certifications like CRISC, CISA often preferred | Similar certifications, often including CRISC, CISA |
| Work Environment | Remote, primarily online collaboration | Remote or on-site, depending on company policy |
| Industry Usage | Financial, healthcare, technology sectors | Financial, retail, manufacturing sectors |
| Job Focus | Assessing third-party risks and compliance | Evaluating vendor security and operational risks |
The main difference is that a Third Party Risk Analyst Remote focuses on assessing risks posed by third-party entities across various industries, often working remotely. A Vendor Risk Analyst typically concentrates on evaluating specific vendors' security and operational risks, which may involve more direct vendor interactions. Both roles require similar certifications and work environments, but their scope and focus differ slightly.

Full-time
Medical
Posted 27 days ago
Job description
Job Summary:
We are seeking a highly analytical and client-focused Pharmacy Consulting Analyst to join our pharmacy consulting team. This role combines strategic analytics, PBM procurement, and operational support to help employer clients optimize their pharmacy benefit programs.
The Pharmacy Consulting Analyst will support pharmacy benefit manager (PBM) RFP processes, including preparation, evaluation, and vendor negotiations, while leveraging pharmacy claims data to identify cost drivers and savings opportunities. This role is responsible for developing financial models, analyzing plan design strategies, and delivering clear, data-driven insights to support client decision-making.
In addition to strategic responsibilities, the role supports operational execution by coordinating documentation, facilitating data exchanges between PBMs and Unison Risk Advisors, ensuring compliance, and assisting with reporting and project management. The ideal candidate is detail-oriented, analytically strong, and comfortable working in a fast-paced consulting environment.
Key Responsibilities:
· Prepare, distribute, and evaluate PBM RFPs, ensuring alignment with client goals and financial competitiveness
· Assist in negotiating pricing terms, rebates, and contract provisions with PBM vendors
· Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings opportunities
· Assist with modeling financial impact of plan design changes, formulary strategies, and procurement approaches
· Develop clear, data-driven client deliverables, including executive summaries and presentations
· Monitor PBM market trends, specialty drug management strategies, and regulatory developments to inform client recommendations
· Conduct benchmarking analyses comparing pharmacy pricing, programs, and performance across the market
· Support consulting teams by preparing materials for client meetings, RFP processes, and strategy reviews
· Compile reporting on claims experience, high-cost medications, and year-over-year spend trends
· Facilitate data requests and reconciliations between PBMs, clients, and internal analytics teams
· Monitor PBM service-level performance and escalate issues impacting client outcomes
· Ensure compliance with HIPAA and regulatory requirements when handling sensitive data
· Provide project coordination support, including scheduling, tracking timelines, and managing deliverables
· Maintaining paperwork, audit documentation, processing billing and invoicing information, and supporting pharmacy leadership with reporting and administrative projects
· Perform ad hoc analyses in response to client or broker requests
Qualifications:
Education & Credentials:
Bachelor of Science in Business, Healthcare Administration, or Economics Relevant Coursework: Healthcare Finance, Data Analytics, Health Policy, Pharmacy Benefit Management
Experience:
· 3+ years of experience in pharmacy benefits, PBM contracting, pharmacy analytics, or pharmacy consulting
· Strong understanding of PBM pricing models, rebate structures, formulary management, and specialty drug strategies
· Experience managing RFP processes and vendor negotiations
· Experience working with or for a PBM, health plan, or benefits consulting firm is highly desirable.
· Experience working with large data sets
Skills:
· Strong analytical and financial acumen.
· Proficiency in Excel (pivot tables, formulas, charts) and data visualization tools (e.g., Tableau, Power BI).
· Excellent written and verbal communication skills.
· Ability to manage multiple projects and deadlines in a fast-paced environment
Who You Are:
· Exceptionally organized, with the agility to move between projects quickly.
· A logical problem-solver who works independently and takes initiative.
· Consistently positive and professional, leading by example even under pressure.
· A strong communicator, both verbally and in writing, with a client-first mindset.
Employment Type: FULL_TIME