Manager, Pharmacy Pricing
RxBenefits, Inc.
full-time
Posted on:
Location Type: Hybrid
Location: Alabama • 🇺🇸 United States
Visit company websiteSalary
💰 $105,600 - $132,000 per year
Job Level
Mid-LevelSenior
About the role
- Review for accuracy and finalize all current account RFPs for submission
- Provide strategic insight and support the AM and Deal Governance teams for At-Risk accounts
- Manage and support the current account claim and data requests
- Respond to competing PBM offers to show RxBenefits pricing value and defend at-risk accounts
- Prepare quarterly reports associated with financial performance
- Lead the production and delivery of all current account annual renewal reporting (Pricing refresh & comparison)
- Support the PBM Pricing Analysts with validating new pricing products in Salesforce
- Perform key audits for new pricing enrollments and monthly contract guarantee performance
- Validate and test updates in SAS associated with pricing and exclusions to maintain reporting accuracy
- Manage the maintenance of PBM reference data including Specialty, Formulary, Exclusion, and Network lists
- Research and analyze discrepancies between projected rebates and payments received
- Act as point of contact for the PBM partners to resolve pricing discrepancies
- Model pricing improvements related to PBM negotiations for improved renewal pricing and terms
- Identify gaps and opportunities in the current processes for enhanced visibility and efficiency
- Directly manages and supports a team to review progress, ensure achievement of key outcomes, and provide professional development opportunities for team members
- Act as a cross-functional representative throughout the organization to provide strategic insight and support organization goals and initiatives
- Lead the development and application of advanced analytics techniques driving operational efficiencies, providing consultative support, enabling informed decision making, and producing KPIs for senior leadership
- Analyze data to uncover potential issues / provide financial impacts
- Provide custom analytics/modeling for ad-hoc projects
Requirements
- 3+ years of PBM pricing or RFP experience required
- Expert interpersonal, communication, and collaborative management skills
- Advanced knowledge of Microsoft Office, Advanced Excel experience required
- Strong team building, relationship management, and project management skills
- Independent/self-starting nature
- Process and procedure oriented
- Highly competent problem solver
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
PBM pricingRFP experienceadvanced analyticsdata analysisfinancial performance reportingpricing modelingauditingpricing validationcontract guarantee performancecustom analytics
Soft skills
interpersonal skillscommunication skillscollaborative managementteam buildingrelationship managementproject managementproblem solvingindependent/self-startingprocess orientedprofessional development