MedOne Pharmacy Benefit Solutions

Pharmacy Underwriting Analyst

MedOne Pharmacy Benefit Solutions

full-time

Posted on:

Location Type: Remote

Location: Remote • Iowa, Montana • 🇺🇸 United States

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Job Level

Junior

Tech Stack

SQL

About the role

  • Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability.
  • Analyze pharmacy claims data and develop reports for operations, sales and other key business units.
  • Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations.
  • Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement.
  • Complete formulary and network disruptions to aid in the onboarding process of new clients.
  • Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.
  • Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects.
  • Active participation and/or ownership in both quarterly and annual business unit priorities.
  • Other duties as assigned.

Requirements

  • Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred.
  • 1-3 years as a functional Data Analyst to include: Data mining, and 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.
  • System architecture and enterprise solution understanding.
  • Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools.
  • Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
  • Ability to think strategically and proactively.
  • Time management and prioritization skills.
  • Incredible work ethic and energy.
Benefits
  • Comprehensive health, dental, and vision insurance.
  • 401(k) with company match to secure your future.
  • Generous paid time off and holidays.
  • Opportunities for professional growth and development.
  • A vibrant and collaborative work culture.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
data miningfinancial modelingreportingdata analyticsproblem solvingunderwriting modelspharmacy claims analysisformulary evaluationnetwork evaluationtechnical specifications
Soft skills
strategic thinkingproactive approachtime managementprioritizationcollaborationcommunicationfinancial acumenwork ethicenergyability to incorporate guidance