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RxBenefits, Inc. · 2 hours ago

Vice President, Strategic Pricing

United States

Full-time

Remote

Senior Level, Lead/Staff

10+ years exp

RxBenefits, Inc. is seeking a Vice President, Strategic Pricing who will be a critical enterprise leader responsible for setting the pricing vision and execution strategy across all PBM offerings. The role involves leading pricing strategy, complex deal design, and ensuring competitive market positioning while driving profitable growth and operational excellence.

FitnessHealth Care

Responsibilities

Establish and continuously refine the enterprise pricing strategy across all PBM products and services to ensure competitiveness, sustainability, and EBITDA protection

Lead pricing for all large and strategic opportunities—including RFPs, renewals, and custom pricing/deal desk requests—balancing client value, financial objectives, and enterprise risk tolerance

Oversee pricing guardrails, margin modeling, guarantee structures, actuarial methodologies, forecasting assumptions, and deal-level P&L accuracy

Sponsor and drive market-differentiating pricing constructs (e.g., True Cost, cost-plus models, 100% pass-through rebates, value-based frameworks)

Improve client-level profitability via standardized pricing architecture, predictive analytics, and alignment with clinical rules engines and formulary strategies

Govern the enterprise pricing process through a formal pricing committee (deal desk), ensuring governance rigor, documented decisions, and defined accountability

Develop and enforce pricing standards, exception management policies, and risk thresholds that ensure consistency and protect financial outcomes

Reduce pricing variability and accelerate quote turnaround time by improving model standardization, automation, and documentation

Collaborate with Corporate Analytics and Technology to enhance pricing tools, data pipelines, documentation, and governance dashboards

Maintain deep, current expertise in PBM industry pricing trends, competitive landscape, drug mix shifts, specialty cost inflation, manufacturer contract dynamics, and network economics

Continuously review marketplace benchmarks (AWP, WAC, NADAC) and competitive guarantee constructs to inform pricing strategy and product positioning

Lead the evolution of RFP pricing strategy to improve win rates, differentiate RxBenefits’ value proposition, and ensure alignment with market conditions and buyer expectations

Partner closely with Clinical, PBM Relations, Sales, Account Management, Finance, and Product to ensure pricing reflects operational realities, clinical strategy, and market dynamics

Build a unified and positive operating rhythm between Pricing, Strategic Pricing, Clinical, PBM Relations, AM, and Sales to ensure consistent execution across the enterprise

Deliver pricing education, playbooks, and training to internal teams to elevate organizational fluency in PBM economics, pricing mechanics, and governance processes

Build, lead, and scale a high-performing pricing organization with expertise in actuarial modeling, analytics, market strategy, and deal design

Foster a culture of accountability, analytical rigor, innovation, and cross-functional partnership

Develop talent through structured coaching, succession planning, skill-building, and leadership development

Model an enterprise-first mindset and help drive clarity, transparency, and alignment across teams

Qualification

PBM pricingActuarial scienceHealthcare analyticsFinancial modelingCross-functional influenceStrategic planningAnalytical capabilitiesLeadership developmentSQLSASRPythonTableauCollaborationCommunication

Required

10+ years of progressive leadership experience in PBM pricing, actuarial science, healthcare analytics, strategy, or financial modeling; PBM experience strongly preferred

Deep subject-matter expertise in PBM economics, including rebates, clinical/utilization dynamics, network pricing, formulary strategy, cost-of-goods, specialty drug economics, and guarantee frameworks

Demonstrated success leading enterprise-specific pricing strategy, governance, and complex, high-stakes negotiations for large client segments

Strong cross-functional influence skills with the proven ability to drive alignment across Clinical, Sales, Finance, AM, Product, and Executive Leadership

Exceptional strategic, analytical, and financial modeling capabilities; comfortable operating with ambiguity and simplifying complex issues into actionable strategies

Experience building and scaling high-performing pricing or actuarial organizations; strong leadership presence with a coaching-oriented mindset

Highly collaborative and able to create trusted, long-term partnerships with internal and external stakeholders

Strong planning, prioritization, and business-acumen capabilities; adept at managing competing priorities in a dynamic, fast-moving environment

Executive presence with the ability to confidently present recommendations, challenge assumptions, engage in productive debate, and influence decisions at the highest levels

Comfortable operating with directness, logic, humility, and a bias for practical execution