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Company

RxBenefits, Inc. · 1 day ago

PBM Proposal Pricing Analyst

United States

Full-time

Remote

Entry, Mid Level

$57K/yr - $71K/yr

1+ years exp

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Hiring Manager

Haley Vines, aPHR

Insider Connection @RxBenefits, Inc.

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Responsibilities

Provide claims files and draft a client ready email upon request

Complete data requests including claims summary, pricing terms, exclusions, etc.

Support client retention efforts for at-risk clients

Collaborate with the Proposal, Deal Governance and Account Management teams

Prepare for and attend all RFP kick-off calls as the pricing Subject Matter Expert (SME)

Clearly communicate milestones and deliverables to all interested parties

Complete accurate RFP pricing responses within specified timelines for on-time delivery

Apply the appropriate pricing terms for each current account; understanding the options and implications for each PBM offered including formulary, retail and specialty networks, maintenance and Clinical program selections, fees, plan tier structure, member size, drug utilization, and government regulations

Provide formulary and network disruption reports

Complete all repricing analyses inclusive of financial guarantees, specialty designations, rebate eligibility, and utilization trends

Serve as the primary point-person for pricing and communicate technical subjects clearly and concisely

Assist in enhancing and maintaining standard proposal responses, trackers, templates and libraries

Maintain flexibility with changing PBM drug lists and the effects this has on guarantees, formulary tier changes, specialty designations, and LDD designations

Understand relevant market, industry, and competitive information

Maintain the highest standard of quality for all company materials

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

PBM experienceHealth industry experienceAdvanced MS ExcelRFP experienceSalesForce experienceSAS software experienceMarket knowledgeProject management

Required

1-3 years PBM or Health industry experience required

Process oriented with the ability to maintain project timelines and stakeholder engagement

Strong analytical, communication and organization skills

Advanced MS Excel user (pivot tables, etc.)

Four-year college degree from an accredited institution

Preferred

PBM pricing and RFP experience preferred

SalesForce experience preferred

Experience using SAS software is preferred

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