Pharmacy Risk Analyst

Job not on LinkedIn

🔥 7 minutes ago

🇺🇸 United States – Remote

💵 $62k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

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Ryan Specialty

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

💼 Consulting

🏗️ Construction

🏥 Healthcare

Consulting • Construction • Healthcare

Ryan Specialty is an international specialty insurance firm that provides innovative solutions for brokers, agents, and insurance carriers. The company offers a range of services including wholesale brokerage, binding authority, and underwriting management through highly specialized managing general underwriters. Ryan Specialty is a leader in the wholesale brokerage industry, providing expertise with local knowledge and national authority. The firm is committed to delivering distinct national specialty programs and bespoke alternative risk solutions, supporting its clients with comprehensive insurance services.

📋 Description

• Analyze pharmacy claims, utilization, and financial data to identify trends, risks, and savings opportunities • Monitor specialty drug spend, gene therapies, GLP-1 utilization, and high-cost claimant activity • Assist with pharmacy risk assessments, stop-loss reviews, and underwriting support • Support PBM evaluations, contract reviews, benchmarking, and implementation projects • Prepare client reports, executive summaries, dashboards, and presentation materials • Research market trends, specialty drug pipeline developments, formulary changes, and biosimilar opportunities • Collaborate with consultants, underwriters, PBMs, and vendor partners to support client strategies • Maintain reporting tools, databases, and project documentation

🎯 Requirements

• Bachelor’s degree in pharmacy, Healthcare Administration, Finance, Business, Data Analytics, or a related field • 3+ years of experience in PBM account managment, pharmacy benefits, healthcare analytics, stop-loss, underwriting, or employee benefits • Experience with pharmacy claims analysis or PBM reporting • Knowledge of specialty pharmacy, formulary management, and manufacturer rebates • Familiarity with stop-loss underwriting and pharmacy risk management • Strong analytical and problem-solving skills with the ability to interpret large datasets • Advanced Excel skills • Proficiency in PowerPoint • Excellent written and verbal communication skills

🏖️ Benefits

• Paid time off for company holidays, vacation, sick and personal days • Paid parental leave • Mental health services • Bonuses for full-time roles • Comprehensive benefits package • Reasonable accommodations for individuals with disabilities