Pharmacy Benefits Audit Operations Analyst

Milliman

. Support 20 or more concurrent audit and consulting engagements .

Posted 10/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $78,800 - $145,130 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in data analysis and project management within the pharmacy benefits industry, with a strong focus on client interaction and effective communication. Proficient in managing multiple projects, utilizing SQL and Excel for data handling, and ensuring deliverable quality.

Highest-signal resume keywords

Data AnalysisProject ManagementPharmacy Benefits ExperienceSQL ProficiencyClient Interaction

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ValidationSQL QueriesExcel ModelingProject SchedulingReconciliationClaims Data AnalysisAudit PreparationTask TrackingReport PreparationData Cleaning

Soft Skills

Strong CommunicationOrganizational SkillsCritical ThinkingCollaborationIndependent Judgment

Tools & Technologies

ExcelPowerPointOutlookPlannerOneNote

Certifications & Qualifications

PMPCAPMCPhT

Industry Keywords

Pharmacy BenefitsPBMConsultingData AnalysisProject Management

Tech Stack

Tools & technologies

PMPSQL

About the role

Key responsibilities & impact

Support 20 or more concurrent audit and consulting engagements
Load, clean, and validate claims, eligibility, pharmacy, and rebate data from PBMs, clients, and other vendors
Write and modify basic SQL queries and Excel models to summarize claims data
Reconcile totals to PBM reporting and prepare exhibits for consultant review
Manage project schedules, milestones, and deliverable due dates
Work with clients, PBMs, third-party administrators, carriers, and other vendors to resolve data and report questions
Prepare audit data requests, track PBM and client responses, and escalate timeline risks
Lead internal and client working sessions, including agendas, meeting notes, action items, and follow-up
Track workload and capacity across consultants and analysts to align staffing with project demand
Review deliverables for completeness, consistency, and formatting before client release

Requirements

What you’ll need

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
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
Highly organized with consistent follow-through
Independent judgment and decision-making
Ownership and accountability
Collaborative approach and critical thinking
Legally authorized to work in the United States without immigration support or sponsorship from Milliman now or in the future