PBM Pricing Strategy Analyst Manager

Elevance Health•Wallingford, CT

10d•Hybrid

About The Position

The PBM Pricing Strategy Analyst Manager will be 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. The manager creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. They also create tools and processes to monitor margin revenue, pricing accuracy, and client retention, and monitor revenue performing below thresholds, implementing necessary tasks to bring performance to or above targets. This role implements pricing in the system related to margin and supports the Pharmacy Services team in implementing future revenue, member expansion, and growth capacity. Additionally, the manager assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Requirements

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

Nice To Haves

MBA strongly preferred.
Intermediate Excel experience and analytical skills strongly preferred.
Pharmacy underwriting/PBM experience strongly preferred.
Medical underwriting experience preferred.
Excellent verbal and written communication skills preferred.
Contraxx or similar contract management tool experience preferred.
Teradata experience preferred.
Domo experience preferred.
Prior leadership, coaching, and/or mentoring experience preferred.

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.