PBM Pricing Strategy Analyst Senior

Elevance Health•Wallingford, CT

6d•Hybrid

About The Position

The Pharmacy Benefit Management (PBM) 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.

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.
Medical underwriting experience 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.