Job Description

Role and Responsibilities The PBM Data Analyst at Liviniti summarizes, analyzes, and interprets pharmaceutical data to support strategic decision‑making. Data Collection and Management Gather and compile pharmacy and healthcare data from claims, prescriptions, and pharmacy networks. Validate and clean data to ensure accuracy, completeness, and consistency. Data Analysis and Reporting Identify trends, patterns, and anomalies using statistical techniques. Perform cost‑benefit and cost‑effectiveness studies to optimize financial and clinical outcomes. Create reports, dashboards, and visualizations with Domo, Tableau, or Power BI. Compare data across time periods and customer types to assess plan effectiveness. Predictive Modeling and Forecasting Project future pharmacy benefit program costs and utilization patterns. Assess impact of benefit design changes on costs and patient outcomes. Compliance and Regulatory Support Ensure pharmacy benefit programs comply with healthcare regulations and data privacy laws. Assist in audits and compliance reporting. Program Optimization and Collaboration Recommend optimizations for formulary management, prior authorization criteria, and cost‑saving strategies. Collaborate with cross‑functional teams to implement recommended changes. Implement data validation processes to maintain data integrity. Communication and Technical Skills Communicate complex analyses clearly to diverse audiences. Develop best practices for answering client benefit questions. Proficiency in SQL, Python, or R and familiarity with Domo or Power BI. Familiarity with PBM software and pharmacy claims processing systems. Additional Responsibilities Maintain confidentiality of sensitive medical information and comply with HIPAA Privacy and Security Rules. Report HIPAA violations to the Compliance Officer or Human Resources. Complete required HIPAA training. Skills and Competencies Strong analytical skills and proficiency in SQL, Python, or R. Understanding of pharmacy benefit terminology, formulary management, and medication pricing. Previous experience in healthcare analytics or pharmacy benefit management. Excellent communication and presentation skills. Attention to detail and ability to work independently and as part of a team. What We Have to Offer Medical, Dental, and Vision insurance Disability and Life insurance Employee Assistance Program Remote work options Generous Paid‑Time Off Annual reviews and development plans Retirement plan with company match 100% vested Position Type and Expected Hours Full‑time, Salaried, Exempt Core work hours 8:00 AM–5:00 PM CT; flexibility to cover meetings in all time zones. Availability for extended hours, weekends, and holidays as required. Travel Minimal travel required. Required Education and Experience Bachelor’s degree in data science, statistics, healthcare management, or related field; advanced degree preferred. 2 years of experience in a data reporting or analysis role. Preferred Education and Experience Familiarity with pharmacy claims coding terminology. Knowledge of SQL Server, SSRS, or Power BI. Equal Employment Opportunity Liviniti, LLC provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetic information. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. #J-18808-Ljbffr ExecutivePlacements.com - The JOB Portal

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