Data Analyst III

Summary

Join Rightway's Data & Insights team as a full-time Business and Operations Analyst III. You will create data analyses demonstrating the company's impact, support analytics development and execution, provide data-driven insights, and create customized analytic approaches in a pharmacy benefits setting. This role supports Rightway’s clinical delivery, operations, and other internal departments by developing and delivering complex analytical needs. You will support strategic decision-making processes to optimize PBM services and work cross-functionally with PBM operational teams. The position requires a Bachelor’s degree or equivalent experience and 4-8 years of experience in quantitative analytics. A strong understanding of PBM operations and proficiency with SQL and data visualization tools are essential.

Requirements

• Bachelor’s degree in Analytics, Computer Science, or related field, or equivalent work experience
• Proficiency with SQL, relational databases and database structures
• Experience in the pharmacy industry and understanding of PBM operations
• Experience with data visualization tools (e.g., Tableau, Power BI, Metabase)
• 4-8 years of experience in quantitative analytics and conducting advanced analytic modeling for large pharmacy and clinical datasets
• 5+ years of industry experience querying and analyzing pharmacy claims and clinical program data
• Basic understanding of AI, Generative-AI, and Machine Learning frameworks
• Experience gathering and documenting requirements from clients or the business
• Ability to communicate analysis to business partners and clients both in writing and verbally
• Excellent communication and interpersonal skills
• Experienced with developing data tools, memos, and presentations to deliver data and insights to stakeholders
• Proven ability to guide standards and provide leadership and mentorship to junior team members

Responsibilities

• Work cross-functionally with PBM operational teams including Eligibility and Claim Operations, Configuration, and Contact Center to deliver actionable insights and strategic recommendations that support operational goals
• Refine and enhance data infrastructure and processes to improve the scalability and efficiency of PBM services
• Leverage knowledge of PBM practices, adjudication logic, regulatory requirements, and industry trends to guide analytics and decision-making
• Build tools and reporting capabilities to monitor claims and enrollment data for trends, anomalies, or processing variances, enabling operational teams to act on performance improvement opportunities
• Design and maintain dashboards and monitoring solutions to track claims processing metrics, operational KPIs, and performance guarantee compliance
• Create and manage standardized reporting for internal stakeholders and external clients to support daily operations, audits, and client reporting needs
• Apply advanced statistical techniques to assess PBM program performance and build repeatable measures for operational effectiveness
• Develop analytic frameworks and methodologies to support strategic initiatives and enable data-driven operational improvements
• Translate complex data findings into clear, actionable insights using reports, dashboards, and presentations tailored to a range of stakeholders
• Partner with internal teams to identify and evaluate opportunities for AI and automation in PBM operations and support implementation planning

Preferred Qualifications

• Proficiency in statistical software (Python, R)
• Proficiency with dbt
• Experience with version control
• Hands on AWS experience is a plus

Benefits

$100,000 - $135,000