Senior Pharmacy Benefits Claims Analyst (San Diego)

Senior Pharmacy Benefits Claims Analyst

We are looking for a Senior 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.

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.

This full-time position is for the pharmacy benefits consulting team within Milliman's San Diego Health Practice, which primarily serves plan sponsors that have contracted with PBMs to provide pharmacy benefits. The team helps plan sponsors navigate the evolving healthcare landscape by providing timely and thorough analysis, empowering our clients to make critical decisions impacting prescription drug affordability and access.

Key responsibilities will include the following :

• Design and conduct data-driven analyses using pharmacy claims data and complex modeling.
• Participate actively as a member of a multi-disciplinary analytics team, fostering the sharing of relevant information to help identify creative solutions to complex problems.
• Explain results of analyses to internal teams and provide valuable insights, both orally and in clear, concise client reports.
• Stay current on industry trends, regulations, and best practices in pharmacy benefit management.
• Contribute to the development of innovative methodologies and tools for pharmacy claims analytics.

Professional Qualifications :

Personal Qualifications :

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 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.

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 August 15, 2025.

The overall salary range for this role is $85,100 - $168,600. For candidates residing in :

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

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

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.