CareerPharm®

Main Purpose of Job: The Clinical Pharmacist/Analyst is responsible for the critical analysis and interpretation of customer claims data to assess the customer’s plan performance, trends, savings opportunities, and to identify fraud, waste, and abuse (FWA). By combining clinical expertise, analytical capabilities, and deep understanding of PBM contracts and claims adjudication process, this role is crucial in ensuring the customer is strategically supported and optimizes the value of their pharmacy benefit.  Additionally, the Clinical Pharmacist/Analyst supports the VP of Analytics and Product Development team with special projects. Key Duties and Responsibilities: Conducts extensive research and analysis of client claims