CO-Op Student - Pharmacy Benefit Management (Pbm) (Hybrid)

We are seeking a motivated and detail-oriented Co-op Student to join our Pharmacy Benefit Management (PBM) team. This role offers valuable hands-on experience in the healthcare and benefits industry, providing support across various PBM functions. Assignment includes data analysis and reporting, system testing and documentation, learning how prescription drug claims are processed, and assisting with projects and day-to-day operations of the PBM team.

As a Co-op Student, you will work alongside industry professionals to support the management of prescription drug plans, gaining practical exposure to how a PBM operates. No pharmacy background is required; we are looking for curiosity, strong organizational skills, and a willingness to learn.

Responsibilities

PBM Technology : Supporting PBM system and application initiatives through data analysis, system testing, and documentation. Reviewing and analyzing large datasets to identify trends, anomalies, and opportunities for investigation, and helping translate business needs into clear requirements for the technology team. Project Work: Contributing to projects focused on operational improvements, system enhancements, and process optimization within the PBM department, including documenting current workflows and identifying opportunities for efficiency and automation.

Drug Claims Adjudication: Learning how prescription drug claims are adjudicated in real time, including how eligibility, plan design, formulary coverage, and drug rules determine whether a claim is paid or rejected. Building an understanding of common rejection and exception codes, pricing and dispensing fee logic, and how adjudication rules are configured, tested, and maintained in PBM systems.