Pharmacy Benefits Claims Analyst

We are looking for a Pharmacy Benefits Claims Analyst for our growing practice. Pharmacy benefits consulting work is, by nature, constantly changing and rarely routine. Applicants must have a deep understanding of pharmaceuticals and pharmacy benefits management (PBM) and feel comfortable working in an environment that requires attention to detail, collaboration, integrity, and adaptability.

Who We Are

Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics, and business transformation.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, inclusion, and sustainability.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

What You Will Do
In this role, you will:

• Clean, transform, and reconcile pharmacy benefits data.
• Conduct data-driven analyses using pharmacy claims data and modeling.
• Participate as a member of a multi-disciplinary analytics team, fostering the sharing of relevant information to help identify creative solutions to complex problems.
• Prepare charts, tables, and written summaries to support internal reviews and client deliverables.
• Contribute to the development of innovative methodologies and tools for pharmacy claims analytics.

What We Are Looking For
Professional Qualifications

• Bachelor’s (or master’s) degree in a quantitative field (e.g., statistics, mathematics, economics, computer science, data science, engineering, public health).
• 0-2 years of PBM or healthcare analytics experience.
• Familiarity with healthcare and/or pharmacy benefits (PBM concepts, claims data, benefit design).
• Working knowledge of Microsoft Office suite, including proficiency in Excel.
• Some experience with any programming language a plus (SQL, T-SQL, R, Python, Pandas).

Personal Qualifications

• Delivers accurate analyses on time, with assumptions and methods clearly documented.
• Communicates progress, questions, and risks early; incorporates feedback quickly.
• Builds trust through attention to detail, collaboration, and ownership of assigned work.
• Demonstrates understanding of pharmacy benefits concepts and growth in technical skills (Excel and optional SQL/Python/R).

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. 

The Team

The San Diego Health practice includes employees with diverse areas of experience and expertise in the pharmacy space. Current employees include those that have worked as actuaries, PBM analysts/consultants, pharmacists, and pharmacy technicians.

Location

This role is based out of the Milliman office in San Diego, California, but candidates hired into this role may work remotely anywhere in the US. The expected application deadline for this job is June 22, 2026.

Compensation

The overall range for this role is $49,900 - $88,895. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $57,385 - $88,895.
• All other locations the range is $49,900 - $77,300.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. 

Benefits

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:

• 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 – Up to 12 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.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran. 

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