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MedOne Pharmacy Benefit Solutions · 1 day ago

Pharmacy Underwriting Analyst

United States

Full-time

Remote

Entry, Mid Level

1+ years exp

MedOne Pharmacy Benefit Solutions is a full-service pharmacy benefit manager serving clients nationwide. They are seeking a Pharmacy Underwriting Analyst to compile financial proposals, analyze pharmacy claims data, and support financial aspects of PBM Request for Proposals, while collaborating with other departments to improve processes.

Pharmaceuticals

Hiring Manager

Jolene Kohlenberg

Responsibilities

Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability

Analyze pharmacy claims data and develop reports for operations, sales and other key business units

Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations

Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement

Complete formulary and network disruptions to aid in the onboarding process of new clients

Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model

Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects

Active participation and/or ownership in both quarterly and annual business unit priorities

Other duties as assigned

Qualification

ExcelSQLData analyticsFinancial modelingData miningPower BIProblem solvingTime managementStrategic thinkingWork ethic

Required

Bachelor's Degree in Math, Computer Science, Statistics or IT preferred

1-3 years as a functional Data Analyst to include: Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience

Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case

System architecture and enterprise solution understanding

Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools

Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes

Ability to think strategically and proactively

Time management and prioritization skills

Incredible work ethic and energy