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RxBenefits, Inc. · 14 hours ago

PBM Pricing Informatics Consultant

United States

Full-time

Remote

Mid, Senior Level

$88K/yr - $110K/yr

5+ years exp

RxBenefits, Inc. is a company focused on providing innovative pharmacy benefits solutions. They are seeking a PBM Pricing Informatics Consultant who will be responsible for financial modeling, analytics, and data integrity, while also supporting the Pricing and Analytics functions and resolving client issues related to performance discrepancies.

FitnessHealth Care

Responsibilities

Review for accuracy and finalize all pricing logic is SAS, Snowflake, DataNet, and Keystone

Provide strategic pricing insights to support the AM, BDE, and Finance teams

Manage and support ongoing changes to Project Prism, our internal modeling tool

Respond to competing PBM offers to show RxBenefits pricing value and provide creative solutions to pricing barriers

Prepare quarterly reports associated with financial performance

Support the PBM Pricing Analysts with validating new pricing products in Salesforce

Perform key audits for new pricing enrollments and monthly contract guarantee performance

Validate and test updates in SAS associated with pricing and exclusions to maintain reporting accuracy

Research and analyze discrepancies between projected and actual savings and a client and BOB level

Act as point of contact for the PBM partners to resolve pricing discrepancies

Model pricing improvements related to PBM negotiations for improved renewal pricing and terms

Identify gaps and opportunities in the current processes for enhanced visibility and efficiency

Directly manages and supports a team to review progress, ensure achievement of key outcomes, and provide professional development opportunities for team members

Act as a cross-functional representative throughout the organization to provide strategic insight and support organization goals and initiatives

Lead the development and application of advanced analytics techniques driving operational efficiencies, providing consultative support, enabling informed decision making, and producing KPIs for senior leadership

Analyze data to uncover potential issues / provide financial impacts

Provide custom analytics/modeling for ad-hoc projects

Qualification

PBM pricing experienceData managementAdvanced ExcelSASSQLSnowflakeKeystoneTeam buildingInterpersonal skillsCommunication skillsProject managementProblem solving

Required

5+ years of PBM pricing or analytics experience is required

Data management experience is required

Advanced knowledge of Microsoft Office, Advanced Excel experience required

Coding knowledge is required (SAS, Keystone, Snowflake, SQL)

Expert interpersonal, communication, and collaborative management skills

Strong team building, relationship management, and project management skills

Independent/self-starting nature

Process and procedure oriented

Highly competent problem solver

Benefits

Remote first work environment

Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members

Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)

Additional buy-up options for Short- and Long-Term Disability and Life Insurance

401(k) with an employer match up to 3.5% available after 60 days

Community Service Day to give back and support what you love in your community

10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like

Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work

Tuition Reimbursement for accredited degree programs

Paid New Parent Leave that can be used for adoption or birth

Pet insurance to protect your furbabies

A robust mental health benefit and EAP service through Spring Health to support you when you need it most