Principal, Pricing & Analytics

MedImpact Healthcare Systems, Inc.San Diego, CA
Onsite

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! The Principal, Pricing and Analytics provides oversight for pharmacy network activities, focusing on the alignment of pharmacy and client network strategies. This role is responsible for the integrity of financial true-ups, advanced analytics, and high-level reporting to drive organizational revenue and cost savings. The Principal manages relationships with internal and external stakeholders and oversees the analysis of large-scale claim data to optimize pricing configurations and ensure all contractual guarantees are met.

Requirements

  • BA/BS Degree
  • 10+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience)
  • Advanced SQL knowledge
  • Expert Microsoft Excel
  • Golden (SQL query tool)
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
  • Ability to apply concepts of basic algebra and geometry.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to write reports, business correspondence, and procedure manuals.
  • Business Acumen
  • Directing Others
  • Organizational Agility
  • Conflict Management
  • Drive for Results
  • Political Savvy
  • Customer Focus
  • Innovation Management
  • Strategic Agility
  • Decision Quality
  • Managerial Courage
  • This position is not eligible for Sponsorship.
  • This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).
  • Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Nice To Haves

  • No supervisory responsibilities

Responsibilities

  • Orchestrates pharmacy network strategies to fulfill corporate initiatives, support product offerings, and grow revenue streams through complex data analytics using a deep understanding of PBM industry, technical skills, and team collaboration
  • Governs all pharmacy network activities, including the execution of pharmacy and client true-ups, analytics, and performance reporting
  • Directs comprehensive analyses to identify enhanced revenue opportunities through strategic network configurations and monthly client performance evaluations
  • Translates complex pharmacy transaction data into actionable insights to ensure all pharmacy and client contract guarantees are met
  • Leads the development of automated reporting tools to streamline the reconciliation of pricing data and enhance departmental efficiency
  • Monitors and calibrates performance for all clients, adjusting pricing structures to maximize revenue while maintaining market competitiveness
  • Spearheads the implementation of strategic pricing initiatives in collaboration with cross-functional teams
  • Manages the rigorous tracking and monitoring of pricing benchmarks to ensure consistent alignment with contractual obligations
  • Provides expert guidance on network performance and pricing trends to internal stakeholders and senior management
  • Engineers advanced analytical models to forecast the financial impact of proposed network changes or pricing adjustments

Benefits

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus
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