[Hiring] Pharmacy Benefits Audit Operations Analyst @Milliman

Role Description

We are seeking a Pharmacy Benefits Audit Operations Analyst to join our Pharmacy Benefits Audit team in our San Diego Health practice. This position may be performed remotely. The analyst will support 20 or more concurrent audit and consulting engagements by:

• Analyzing pharmacy claims, eligibility, rebate, and pricing data using Excel and SQL.
• Coordinating project schedules, data requests, and deliverables with clients, PBMs, and other vendors.

This role requires strong organizational, communication, and follow-through skills.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 2+ years of relevant experience in data analysis, project management, consulting, or a related field preferred.
• Pharmacy benefits or PBM industry experience preferred.
• PMP, CAPM, or pharmacy-specific credentials (e.g., CPhT) preferred.
• Demonstrated ability to manage multiple concurrent projects and competing deadlines with limited oversight.
• Experience interacting directly with clients, vendors, or senior stakeholders.
• Proficiency in Excel, PowerPoint, Outlook, Planner, OneNote and other project management or task-tracking systems.
• Strong written and verbal communication skills, including clear and professional client correspondence and comfort presenting to leadership.
• Familiarity with claims data or basic SQL a plus.

Requirements

• Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Benefits

• Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
• 401(k) Plan – Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program – Recognizing employee contributions.
• Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays – A minimum of 10 paid holidays per year.
• Family Building Benefits – Includes adoption and fertility assistance.
• Paid Parental Leave – 11 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D – 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability – Fully paid by Milliman.