Pharmacy Risk Analyst

Position Summary

The Pharmacy Risk Analyst supports pharmacy risk management and stop-loss initiatives by analyzing pharmacy claims, identifying emerging cost drivers, and assisting with pharmacy benefit strategy development. This role works closely with consultants, underwriters, brokers, and clients to evaluate specialty drug exposure, high-cost claimants, PBM performance, and pharmacy cost-containment opportunities.

What will your job entail?

Job Responsibilities:

• Analyze pharmacy claims, utilization, and financial data to identify trends, risks, and savings opportunities.
• Monitor specialty drug spend, gene therapies, GLP-1 utilization, and high-cost claimant activity.
• Assist with pharmacy risk assessments, stop-loss reviews, and underwriting support.
• Support PBM evaluations, contract reviews, benchmarking, and implementation projects.
• Prepare client reports, executive summaries, dashboards, and presentation materials.
• Research market trends, specialty drug pipeline developments, formulary changes, and biosimilar opportunities.
• Collaborate with consultants, underwriters, PBMs, and vendor partners to support client strategies.

• Maintain reporting tools, databases, and project documentation.
  Work Experience and Education:

• Bachelor’s degree in pharmacy, Healthcare Administration, Finance, Business, Data Analytics, or a related field.
• 3+ years of experience in PBM account managment, pharmacy benefits, healthcare analytics, stop-loss, underwriting, or employee benefits.
• Experience with pharmacy claims analysis or PBM reporting.
• Knowledge of specialty pharmacy, formulary management, and manufacturer rebates.
• Familiarity with stop-loss underwriting and pharmacy risk management.
• Strong analytical and problem-solving skills with the ability to interpret large datasets.
• Advanced Excel skills and proficiency in PowerPoint.

Excellent written and verbal communication skills.

Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization. Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities. This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment.

How We Support Our Teammates 

Ryan Specialty seeks to offer our employees a comprehensive and best-in-class benefits package that helps them — and their family members — achieve their physical, financial, and emotional well-being goals. In addition to paid time off for company holidays, vacation, sick and personal days, Ryan offers paid parental leave, mental health services and more.

The target salary range for this position is $62,000.00 - $70,000.00 annually.

The wage range for this role considers many factors, such as training, transferable skills, work experience, licensure and certification, business needs, and market demands. The pay range is subject to change and may be modified in the future. Full-time roles are eligible for bonuses and benefits. For additional information on Ryan Specialty Total Rewards, visit our website https://benefits.ryansg.com/. 

 

We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law. Please contact us to request an accommodation at [email protected] 

 

The above is intended to describe this job's general requirements. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.