Judi Health
Staff Analyst, Analytics - Pharmacy Payment Integrity & Analytics
$111K–$188K
Charlotte, North Carolina, United States +5 · Staff · Full-time · Posted Oct 13, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 4-6 years in healthcare analytics, pharmacy analytics, PBM operations, claims auditing, or a related field.
About the job
Analyzes pharmacy claims to validate adjudication, identify pricing and benefit discrepancies, assess financial and compliance risks, and improve claims oversight.
What you'll do
- Use SQL to investigate claims, validate pricing and benefit application, and identify adjudication errors.
- Support audits, reconciliations, and cross-functional investigations; communicate findings and recommendations.
- Build and maintain claims-monitoring queries, reports, dashboards, and tools, including automation and quality controls.
What they ask for
- Advanced SQL skills and ability to analyze large, complex datasets.
- Experience with pharmacy reimbursement, network pricing, financial reconciliation, contract compliance, or payment-integrity analysis.
- Ability to interpret contractual pricing terms and translate them into documented calculations, validation rules, and test cases.
- Experience investigating claims and pricing discrepancies and communicating quantified financial exposure and findings to stakeholders.
Nice to have
- PBM industry experience.
- Experience with pharmacy network contracting, reimbursement analysis, effective-rate reconciliation, contract compliance, drug or pharmacy reference data, financial controls, audit support, or automated monitoring frameworks.
Pay
$132,795 — $188,500 USD (base salary); $121,523 — $172,500 USD (base salary); $110,604 — $157,000 USD (base salary)
Tools
SQL
Model-written summary · the original posting is authoritative