My Account
Job Overview
Position Description:
- Review and monitor client and pharmacy contracts and our financial performance against them on an ongoing basis
- Investigate changes or unexpected trends in client or pharmacy performance by analyzing pharmacy claims data and looking for outliers or trends over time
- Collaborate with team members to execute MAC appeals process on a weekly basis
- Develop and execute recurring reports/research processes for discount card line-of-business
- As needed, design pricing models and analyses templates e.g., to hit financial targets, predict the impact of pricing/utilization changes, and/or determine the size of risks/opportunities
- Execute MAC maintenance tasks, audit processes, and uploads; as needed during execution, identify discrepancies, assess risk, and recommend solutions
- Expand and update share the Pricing team’s SQL data environment by adding new and relevant data sources based on evolving business needs
- Conduct ad hoc inquiries in a timely manner by synthesizing disparate data sources to provide clear and actionable information to both internal and external stakeholders
- Continuously engage in process analysis and problem solving to identify opportunities that can be addressed via automation tools and/or applications
Position Requirements:
- Bachelor’s Degree in Math, Computer Science, IT, Statistics, or Economics. Must be eligible to work in the United States without need for work visa or residency sponsorship. Should be under no restrictive non-compete covenant from a previous or existing employer
- 2+ years of work experience in pricing or financial analysis. Healthcare or PBM experience preferred
- Data mining and/or financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience
- Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
- Advanced knowledge of reporting, data analysis, and problem solving using analytical tools such as advanced Excel, Microsoft Access, SAS, SQL, SSRS, Power BI and/or ad hoc Query Tools
- Ability to think strategically and proactively
- Time management and prioritization skills
Other Benefits:
- Competitive Salary
- Paid Birthdays
- Gym Reimbursement
- Career Growth Opportunities
