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 Opportunity

We’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 Do

• Translate client benefit requirements into accurate system configurations across plan design, formularies, copays, pricing, networks, and clinical programs
• Build and maintain benefit plans within the claims adjudication system
• Validate configurations before go-live, catching issues early so claims run cleanly from the start
• Serve as a go-to resource for internal teams on benefit design questions tied to your accounts
• Troubleshoot adjudication issues and partner with technical and operations teams to resolve them quickly
• Keep clean, organized documentation of all configurations and updates
• Support implementations and open enrollment changes, managing timelines and deliverables
• Monitor plans post-launch to ensure ongoing accuracy and alignment with client contracts

What You Bring

• 1–3 years of experience in claims adjudication or benefit configuration within a PBM environment
• Solid understanding of pharmacy benefit structures like formularies, copay tiers, prior authorization, step therapy, and quantity limits
• Strong Excel skills, you’re comfortable working with data, running lookups, and making sense of complex information
• High attention to detail with a methodical, quality-first mindset
• Ability to manage multiple priorities without losing accuracy
• Clear communication skills, especially when translating technical requirements into actionable work

Bonus Points

• Experience working directly within pharmacy adjudication systems
• Familiarity with NCPDP data elements

Why This Role

If 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 Commitment

At 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 Statement

HR 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 Commitment

HR 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 Rights

HR Soul is dedicated to ensuring that all applicants are aware of their rights concerning workplace discrimination, which is unlawful.

Application Agreement

By 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 Statement

Compensation for this position (and others) at HR Soul is based on multiple factors, including:

• The candidate’s skill set, experience, and education
• Required licenses and certifications
• Geographic location of the office
• Additional business and organizational considerations

In 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.