PBM Pricing Strategy Analyst Senior

Elevance Health • Wallingford, CT

1d • Hybrid

About The Position

Pharmacy Benefit Management Pricing Strategy Analyst Senior

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Pharmacy Benefit Management Pricing Strategy Analyst Senior will be responsible for pharmacy underwriting pricing initiatives for self-funded national accounts. A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

How you will make an impact: Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. Creates tools and processes to monitor margin revenue 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.

Requirements

• Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Intermediate Excel experience and analytical skills strongly preferred.
• Pharmacy underwriting/PBM experience strongly preferred.
• Excellent verbal and written communication skills preferred.

Responsibilities

• Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities.
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization.
• Creates tools and processes to monitor margin revenue 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.

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level