Maxor National Pharmacy Services, LLC

Data and Pricing Analyst, PBM Pricing and Underwriting

Maxor National Pharmacy Services, LLC

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Job Level

JuniorMid-Level

Tech Stack

SQL

About the role

  • Create and maintain custom data-mining queries to produce actionable insights for pricing and business strategy.
  • Analyze pharmacy claims, drug pricing, rebate models, and utilization trends for internal teams and client reporting.
  • Interpret complex pharmacy benefit structures and clearly communicate findings to varied audiences.
  • Provide forecasting, reporting, and analytical support to senior management for strategic planning.
  • Automate and streamline reporting to increase efficiency and reduce manual processes within PBM pricing operations.
  • Contribute to Pricing operations by: Managing pricing appeals, coordinating with Maxor Specialty, and compiling data for automated processing.
  • Executing weekly pricing tasks to ensure accuracy and implementation consistency.
  • Gathering and preparing input data from pricing resources to support core processes.
  • Documenting procedures to meet audit and compliance requirements.
  • Execute dynamic pricing strategies in response to market changes to ensure competitive positioning and profitability.
  • Collaborate with Pricing, Underwriting, Sales, and Account Management teams to evaluate and support new/existing client opportunities.
  • Enhance financial models and streamline operational processes for greater accuracy and efficiency.
  • Create and distribute ad hoc reports and financial models tailored to business needs.
  • Develop tools for performance monitoring and key metric tracking across business units.
  • Author and manage Standard Operating Procedures (SOPs) for custom and standardized tasks.
  • Foster continuous improvement with a strong focus on operational excellence and process optimization.

Requirements

  • Education: Bachelor’s Degree in Finance, Business Analytics, Computer Information Systems, Data Science, or Economics. Or similarly related degree preferred.
  • Experience: Minimum of 2 years’ experience completing complex analytical, financial analysis for PBM services.
  • Minimum of 1 year experience using SQL or other applicable programming language.
  • Knowledge of pricing components and service mix, including plan design, prescription utilization, retail networks, rebates, Specialty/Mail pharmacy services, and brand/generic dynamics.
  • Advanced Excel and Word expertise, with experience in building complex financial models and reports.
  • Proficient in SQL, using SELECT, CASE, JOIN, and conditional logic to extract and analyze large datasets.
  • Strong analytical skills to assess client-specific data within the broader context of business strategy, delivering actionable pricing recommendations.
  • Experience working with complex, unstructured datasets to drive insights and decisions.
  • Proven ability to manage multiple priorities, coordinate deliverables, and meet critical deadlines.
  • Effective cross-functional collaborator in fast-paced environments involving Operations, Sales, Account Management, and Finance.
  • Skilled communicator with experience presenting findings to senior leadership.
  • Self-motivated project manager with excellent follow-through and organizational discipline.
  • Detail-oriented with exceptional time management and process documentation skills.