Strategic Pricing Manager

FreeMarketHealth•Pittsburgh, PA

About The Position

Free Market Health is seeking a Strategic Pricing Manager to translate pricing strategy into operational processes that support rate strategy across the Free Market Health platform. The role connects pharmacy and PBM rate sources, pricing changes, and platform financial performance to help ensure pricing decisions are implemented accurately and consistently. The Strategic Pricing Manager leads day-to-day specialty pharmacy pricing and configuration activities, including maintaining rate configurations, implementing pricing decisions, evaluating market-driven changes, and modeling the financial impact of pharmacy benefit rates for client programs valued in the millions of dollars. This internally focused position partners with leaders across Program Architecture and Configuration, Sales, Analytics, and Pharmacy Relations. The role also develops and documents processes for rate management, audits pricing configurations, evaluates reporting, and recommends improvements to pricing tools and data practices.

Requirements

Bachelor’s degree in business, healthcare administration, finance, or a related field.
Three or more years of pharmacy pricing experience, ideally within a pharmacy benefit manager or pharmacy business unit.
Demonstrated expertise in financial or pricing modeling.
Experience analyzing pharmacy benefit rates using WAC, AWP, and NADAC methodologies.
Background in healthcare financial modeling.
Advanced proficiency in Microsoft Excel.
Strong critical-thinking and problem-solving skills.
Excellent attention to detail and ability to evaluate complex pricing information accurately.
Ability to collaborate effectively with cross-functional stakeholders and translate pricing strategies into executable processes.

Nice To Haves

Direct experience with specialty pharmacy pricing and reimbursement analysis.
Experience with Tableau or Databricks.
An advanced degree in healthcare, business, or a related field.

Responsibilities

Own day-to-day maintenance, documentation, and execution of rate decisions across payer programs.
Audit pricing configurations regularly to identify discrepancies, outdated rates, and optimization opportunities.
Model and track the financial impact of proposed pricing updates.
Establish scalable processes and operational standards for the pricing function.
Partner with Sales to maintain accurate client rates.
Translate new rate sources and pricing strategies into accurate rate configurations.
Analyze interactions between WAC, AWP, and NADAC pricing methodologies and rate-source updates.
Evaluate and implement rate updates related to generic launches, biosimilars, newly introduced drugs, and other specialty pharmacy market events.
Evaluate the impact of rate changes across client programs using financial and pricing modeling.
Develop and document procedures for collecting, reviewing, implementing, and maintaining rates and pricing information.
Monitor pricing tools and processes for effectiveness and recommend technology-enabled improvements.
Evaluate reporting packages from the perspectives of payer clients, PBM clients, and internal stakeholders.
Collaborate with Analytics to recommend improvements to pricing data and reporting content, impact, production, and presentation.