Hybrid Manager, Pharmacy Pricing

at RxBenefits, Inc.

• Job title: Manager, Pharmacy Pricing
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $105,600 - $132,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, United States

About the role

• Manager, Pharmacy Pricing overseeing financial reporting and strategic pricing actions for RxBenefits. Leading team in a remote-first environment focused on analytics and client engagement.

Responsibilities

• Review for accuracy and finalize all current account RFPs for submission
• Provide strategic insight and support the AM and Deal Governance teams for At-Risk accounts
• Manage and support the current account claim and data requests
• Respond to competing PBM offers to show RxBenefits pricing value and defend at-risk accounts
• Prepare quarterly reports associated with financial performance
• Lead the production and delivery of all current account annual renewal reporting (Pricing refresh & comparison)
• Support the PBM Pricing Analysts with validating new pricing products in Salesforce
• Perform key audits for new pricing enrollments and monthly contract guarantee performance
• Validate and test updates in SAS associated with pricing and exclusions to maintain reporting accuracy
• Manage the maintenance of PBM reference data including Specialty, Formulary, Exclusion, and Network lists
• Research and analyze discrepancies between projected rebates and payments received
• Act as point of contact for the PBM partners to resolve pricing discrepancies
• Model pricing improvements related to PBM negotiations for improved renewal pricing and terms
• Identify gaps and opportunities in the current processes for enhanced visibility and efficiency
• Directly manages and supports a team to review progress, ensure achievement of key outcomes, and provide professional development opportunities for team members
• Act as a cross-functional representative throughout the organization to provide strategic insight and support organization goals and initiatives
• Lead the development and application of advanced analytics techniques driving operational efficiencies, providing consultative support, enabling informed decision making, and producing KPIs for senior leadership
• Analyze data to uncover potential issues / provide financial impacts
• Provide custom analytics/modeling for ad-hoc projects

Requirements

• 3+ years of PBM pricing or RFP experience required
• Expert interpersonal, communication, and collaborative management skills
• Advanced knowledge of Microsoft Office, Advanced Excel experience required
• Strong team building, relationship management, and project management skills
• Independent/self-starting nature
• Process and procedure oriented
• Highly competent problem solver

Benefits

• Remote first work environment
• Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
• Additional buy-up options for Short- and Long-Term Disability and Life Insurance
• 401(k) with an employer match up to 3.5% available after 60 days
• Community Service Day to give back and support what you love in your community
• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
• Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
• Tuition Reimbursement for accredited degree programs
• Paid New Parent Leave that can be used for adoption or birth
• Pet insurance to protect your furbabies
• A robust mental health benefit and EAP service through Spring Health to support you when you need it most