MedOne Pharmacy Benefit Solutions

Pharmacy Underwriting Analyst

MedOne Pharmacy Benefit Solutions

full-time

Posted on:

Location Type: Remote

Location: 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 & Tools
data miningfinancial modelingreportingdata analyticsproblem solvingunderwriting modelspharmacy claims analysisformulary evaluationnetwork evaluationtechnical specifications
Soft Skills
strategic thinkingproactive approachtime managementprioritizationcollaborationcommunicationfinancial acumenwork ethicenergyability to incorporate guidance