PBM Pricing Strategy Analyst Manager - Underwriting

Elevance HealthWallingford, CT
Hybrid

About The Position

The PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions. This role implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities. It involves creating and implementing metrics and supporting performance measures to establish performance objectives for revenue maximization and pharmacy pricing. The manager also creates tools and processes to monitor margin revenue, pricing accuracy, and client retention, monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets, and implements pricing in the system related to margin. Additionally, the role supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity, and assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Requirements

  • BA/BS in Finance or related field
  • A minimum of 5 years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis
  • Any combination of education and experience, which would provide an equivalent background.

Nice To Haves

  • Pharmacy Underwriting knowledge and concepts
  • Strong analytical skills
  • Experience responding to Request for Proposals

Responsibilities

  • Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities.
  • Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing.
  • Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention.
  • Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.
  • Implements pricing in the system related to margin.
  • Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.
  • Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources
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