Pharmacy Benefit Analyst

Here at HR Soul our solutions amplify the performance of people and the soul of company culture. From strategic planning with CEO’s, partnering with HR leaders on key projects, building high performing teams to coaching and recruiting the future of our client’s organization.The OpportunityWe’re partnering with a growing healthcare technology company that’s building smarter, more flexible pharmacy benefit solutions. They’re looking for a Pharmacy Benefit Analyst who thrives in the details and understands that precision here isn’t optional, it’s everything.This role sits at the heart of product execution. You’ll take complex client benefit designs and bring them to life inside the adjudication system, making sure everything is configured correctly, tested thoroughly, and ready to perform from day one. Think of it as part architect, part quality control, part problem-solver.What You’ll DoTranslate client benefit requirements into accurate system configurations across plan design, formularies, copays, pricing, networks, and clinical programsBuild and maintain benefit plans within the claims adjudication systemValidate configurations before go-live, catching issues early so claims run cleanly from the startServe as a go-to resource for internal teams on benefit design questions tied to your accountsTroubleshoot adjudication issues and partner with technical and operations teams to resolve them quicklyKeep clean, organized documentation of all configurations and updatesSupport implementations and open enrollment changes, managing timelines and deliverablesMonitor plans post-launch to ensure ongoing accuracy and alignment with client contractsWhat You Bring1–3 years of experience in claims adjudication or benefit configuration within a PBM environmentSolid understanding of pharmacy benefit structures like formularies, copay tiers, prior authorization, step therapy, and quantity limitsStrong Excel skills, you’re comfortable working with data, running lookups, and making sense of complex informationHigh attention to detail with a methodical, quality-first mindsetAbility to manage multiple priorities without losing accuracyClear communication skills, especially when translating technical requirements into actionable workBonus PointsExperience working directly within pharmacy adjudication systemsFamiliarity with NCPDP data elementsWhy This RoleIf you like work where the details actually matter and where getting it right has a real downstream impact, this is that kind of role. You’ll be a key player in making sure clients’ benefits function exactly as designed, no surprises, no fire drills.Diversity CommitmentAt HR Soul, we embrace a rich tapestry of backgrounds and experiences within our workplace. We actively encourage applications from women, individuals of color, members of the LGBTQ+ community, people with disabilities, ethnic minorities, immigrants, and veterans.Equal Opportunity Employment StatementHR Soul proudly upholds its status as an Equal Opportunity Employer. We prohibit discrimination against any employee or candidate based on various attributes, including but not limited to race (encompassing characteristics historically associated with race such as hair texture and style), color, gender (including pregnancy and related conditions), religion or belief, national origin, citizenship, age, disability, veteran status, union membership, ethnicity, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable laws.Inclusivity CommitmentHR Soul and its partners are fully committed to ensuring that all qualified individuals are included. We provide reasonable accommodations for applicants and employees with disabilities. If you need assistance during the job application or interview process, or require accommodations to perform essential job functions, please reach out via our contact page: Contact HR Soul.Your RightsHR Soul is dedicated to ensuring that all applicants are aware of their rights concerning workplace discrimination, which is unlawful.Application AgreementBy applying for this position, you authorize HR Soul to exclusively consider you as a candidate for the specified opportunity. You affirm that the information you provided about your qualifications is true and that you have not misrepresented yourself. Additionally, you agree to keep confidential any details regarding the position that you may learn from HR Soul, sharing such information only as necessary to support your application process. In exchange, HR Soul pledges to make reasonable efforts to represent you throughout the job screening and resume distribution stages.Salary Transparency StatementCompensation for this position (and others) at HR Soul is based on multiple factors, including:The candidate’s skill set, experience, and educationRequired licenses and certificationsGeographic location of the officeAdditional business and organizational considerationsIn line with local regulations, HR Soul provides a salary range that reflects a reasonable estimate of the base pay for this role in areas where salary disclosure is mandated.