Job Description
Job title –
Pharmacy Benefit Analyst (PBM / Medicare)
Job location type –
Remote
Job type –
12 months contract with possible extension
Role Overview
We are seeking a detail-oriented Pharmacy Benefit Analyst (PBM / Medicare) with strong experience in Medicare pharmacy operations to support high-impact initiatives within a leading healthcare organization. This role is critical to ensuring timely delivery of member materials and compliance with government regulations tied to Medicare pharmacy programs.
- Key Responsibilities
- Develop, manage, and distribute member materials including ANOC (Annual Notice of Change) and EOC (Evidence of Coverage).
- Ensure all communications meet regulatory, compliance, and submission timelines.
- Work extensively with Word documents and PDF communications to align with governance standards.
- Support Medicare pharmacy claims processing and reporting requirements.
- Perform data entry and documentation management with high accuracy.
- Coordinate across teams to ensure deadlines and compliance benchmarks are consistently met.
- Required Qualifications
- 3+ years of relevant experience in Medicare, pharmacy benefits, or healthcare operations.
- Strong understanding of Medicare pharmacy processes and compliance requirements.
- Experience with reporting, documentation, and data entry.
- Bachelor’s degree preferred (or 5+ years of equivalent experience in lieu of degree).
- Preferred Qualifications
- Experience with member materials (ANOC/EOC).
- Exposure to pharmacy benefit management (PBM) environments.
- Ability to manage multiple deliverables under strict regulatory deadlines.
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