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PBM Pricing Analyst - 1152670
- Location Not Submitted
- Salary $100k/year - 140k/year
- Job Type Full Time
- Posted 11/29/2022
Position Name: PBM Pricing Analyst
Reports to: Chief Operating Officer
Position Summary + Scope of Responsibilities
The Pricing Analyst has a strategic role making a direct impact
on this company’s client satisfaction with the goal of increasing
our competitiveness and profitability by retaining and growing
our business. Serving as an expert consultant on matters
pertaining to analyzing pricing, assessing performance
guarantees, and actuarial analysis, this position will be
responsible for using statistical models to analyze data and
assess risk.
Principal Roles and Responsibilities
• Evaluates the utilization and financial experience of clients
and prospects
• Translate pricing data into actionable profit-enhancing
strategies
• Collaborating with business development and operations on
developing and implementing competitive pricing strategies
• Responsible for research and analysis of information to provide
recommendations on calculation issues while protecting the
organization from unnecessary risk
• Review repricing documents
• Produce reports on analysis findings
• Identify liabilities and risks
• Identify trends in the data
• Verifying and identifying sources of data
• Comfortable working in a fast-paced industry, as well as when
conducting predictive modeling or advocating on behalf of a
client or patient.
• Proactively identify opportunities for improvements in
processes and programs
• Evaluate incumbent pricing for anomalies
Minimum Requirements (Experience + Education)
• Bachelor’s Degree or equivalent experience; Finance or Business
Degree preferred
• 3+ years of drug pricing/financial analysis or related
experience in the managed care industry
• Excellent critical thinking, problem-solving, and communication
skills
• Exceptional mathematical and statistical knowledge and
understanding
• Experience with spreadsheets and databases
• Basic understanding of business and finance
• Previous PBM experience in this role, preferred
Physical Demands and Work Environment
While performing the duties of this job, the employee is exposed
to weather conditions prevalent at that time. The noise level in
the work environment is usually moderate. While performing the
duties of this job, the employee is frequently required to sit,
use hands and fingers, and type for up to eight (8) hours in a
workday. Employee is required to stand and/or walk for short
periods of time and occasionally lift and/or move up to 25
pounds.
Disclaimer
The above statements are intended to describe the general nature
and level, or work being performed by people assigned to this
classification. They are not to be constructed as an exhaustive
list of all responsibilities, duties, and skills required of
personnel so classified. All personnel may be required to perform
duties outside of their normal responsibilities from time to
time, as needed.