PBM Pricing Strategy Director

Elevance Health•Costa Mesa, CA

1d•$141,036 - $211,554•Hybrid

About The Position

The PBM Pricing Strategy Director is responsible for the analysis and development of the Pharmacy Benefits Manager (PBM) pricing strategy. This role requires associates to be in-office 3 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. 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.

Requirements

Requires a BA/BS in Finance or related field and a minimum of 10 years of experience with a PBM, pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Experience supporting M&A due diligence workstreams, including financial, operational, commercial, legal, regulatory, and integration-related diligence
Strong understanding of financial statements, valuation methodologies, and transaction process fundamentals
Excellent analytical, communication, and project management skills, with ability to manage multiple priorities
High attention to detail.

Responsibilities

Evaluates pricing position, assists with claims analysis, documents new optics, conducts optics training, and ensures proper language is covered in request for proposals and contracts.
Collaborate with sales and account management teams to explain pricing decisions and client trends.
Assists with developing and supporting key metrics and establishing performance measures for revenue maximization.
Assists with monitoring and evaluating revenue performing below thresholds and developing necessary tasks to bring performance in line with targets.
Serves as key member of support team in planning for future revenue, member expansion and growth capacity.