Senior Advisor, Pricing Consultation - Express Scripts - Hybrid
About The Position
The Health Plan Growth Senior Advisor is a vital part of a team tasked with building all aspects of employer group pricing strategy for our Health Plan partners. The Senior Advisor will be a key leader serving as a PBM pricing expert for our health plan clients at a variety of organizational levels, including within the C-Suite. This role requires constant surveillance and rapid understanding of pricing trends in the employer space, as well as the broader landscape including legislative impacts, new market entrants and the evolution of legacy PBMs. The Senior Advisor will work closely with various internal teams such as Underwriting, Actuary, Operations and Legal to build and oversee complex pricing arrangements at the employer group level for a wide variety of clients. If you want a growth opportunity and have what it takes to thoughtfully engage with clients, go deep on strategy, and develop novel pricing analytic and data tools, this role is for you.
Requirements
- 7+ years of PBM Pricing/Underwriting or Consulting experience at a reputable firm required
- 2+ years of client-facing experience, specifically in communication of complex financial analysis required
- Intimate knowledge of PBM industry dynamics, including broker/consultant strategies, market trends and headwinds, competitive intelligence, and coalitions, among others
- Strong presentation skills with an ability to articulate complex challenges in digestible terms, often to those with limited background in pharmacy pricing
- Comfortability in making key decisions with limited or ambiguous information and fast turnarounds
- Ability to think creatively to develop novel solutions to nuanced, complex problems
- Excellent verbal and written communication skills
- Detail oriented and organized, specifically regarding record keeping and note taking
- Proficiency Excel and PowerPoint, with a familiarity of various BI tools such as SQL and bi query
- History of demonstrating analytical rigor and problem-solving complex business cases
- Intense focus on client service and retention results
- Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Responsibilities
- Serve as PBM Pricing strategy expert for health plan clients, specifically focused in the ASO-Commercial space, interacting regularly with client leadership, as well as all levels of our internal organization
- Provide ongoing consultation in the following areas to our Health Plan clients: New business pricing strategy, Existing client retention strategies and best practices, Consultant feedback loops and interaction roadmaps, Competitive intelligence, including evaluation of market dynamics, Pricing optics & bid analysis, PBM Contracting and RFP response best practice approaches, Various ongoing training activities with our clients
- Being a thought leader within the Health Plan Growth team, empowering our broader team of with a variety of strategic pricing insights
- A willingness to proactively engage with internal and external Underwriting, Sales, Operations and Finance partners to ensure strategic alignment and maximization of financial performance
- Ability to understand new PBM products, programs and legislative impacts quickly, and confidently explain the value, risk or opportunity to all stakeholders
Benefits
- medical
- vision
- dental
- well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
