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
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