RxBenefits, Inc. · 2 hours ago
PBM Financial Analyst
United States
Full-time
Remote
Mid Level
$62K/yr - $79K/yr
3+ years expRxBenefits, Inc. is hiring a Strategic Pharmacy Analyst to join their Business Development team. The Analyst will support the sales process by managing financial analyses and collaborating with various teams to ensure accurate and timely delivery of reports and documentation.
FitnessHealth Care
Responsibilities
Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in connecting Brokers, BDEs, Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product Team, SLT, and ELT in support of closing new business
Manage the life cycle of Financial Analyses, RFPs, Comp Analyses, Patient Assistance Programs (PAP) Reports, and/or additional presentation documents for multiple BD partners and Brokers with a multitude of changing variables, reporting needs, communication styles, and marketing agreements
Lead multiple small teams with RxBenefits BDEs and Financial Analysts to manage each new opportunity project from beginning to closed status employing high level soft skills, a proactive mindset, and ensuring the results are communicated with the highest impact externally
Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it meets the requirements for our comprehensive financial and clinical modeling
In coordination with small teams, ensure the timely delivery of accurate, group specific Financial Analyses, PAP Reports, Clinical FAES, and/or additional reporting/documentation
Be the SME on the repricing process, results, and applicability to our modeling inclusive of discount guarantees, discount schedules, channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer Copay Assistance Programs (MCAP), PAP, and clinical appropriateness in alignment with RxBenefits and PBM partner products
Be the SME on the formulary disruption process, results, and applicability to our modeling inclusive of the incumbent designations, network disruption, RxBenefits designations, formulary exclusion impact, member impact, and formulary alternatives in connection with new prospect benefit plan designs
Be the SME on hundreds of RxBenefits pricing schemes and their applicability based on pricing models, formulary options, retail networks, maintenance program selections, specialty networks, fees, plan tier structure, new prospect member size, marketing agreements, broker commissions, and drug utilization
Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G classification, discount applicability, rebate/fee credit applicability, contract term penalties, discount/rebate exclusions, UM terms, MCAP products, PAP, third party specialty arrangements, and their applicability on our modeling
Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to deliver a custom RxBenefits Financial Analysis for every new opportunity prospect
Maintain flexibility with constantly changing RxBenefits PBM drug lists and the effects this has on formulary tier changes, specialty designations, LDD designations, UM components, clinical outcomes, and MCAP outcomes and their relation to specific financial, clinical, and member impacts for new opportunities
Maintain the resources needed to apply pricing, commission structures, and properly branded reporting for dozens of broker partners with custom level service from RxBenefits
Produce ad hoc reporting for BD, Brokers, and various RxBenefits team members using advanced Microsoft Excel skills (vlookups, pivot tables, etc.) to answer a broad range of questions around reprice, disruption, and member impacts for new opportunities with varying degrees of urgency to close business
Become the SME on new RxBenefits Product offerings in a detailed level to communicate the impacts on new prospect opportunities to BD teammates and Broker clients
Help prepare BDEs for finalist presentations and work with marketing on presentations
Become comfortable and ready to present Financial Analyses and associated GTM documents with ease and a delivery that exudes confidence around pricing, UM caveats, Clinical Products, and formulary disruption down to the single claim detail
Own and manage the new opportunity SalesForce (SFDC) life cycle from the analyze stage through the coordinated hand-off of closed won groups including the broker account, employer account, group plan, SOLD form, required attachments, and all the fields needed to create a smooth transition for the group as a new employer client
Employ expert use of SFDC reporting and dashboards to manage new opportunities through the sales pipeline, provide ad hoc connectivity information for BD and brokers, and ensure the new prospect opportunity URL contains all group information as the central location for multiple RxBenefits departments
Work with the BD team to update SFDC and key activity metrics for their assigned territories
Responsible for transitioning closed won groups into a client record for Account Management (AM) and Implementation including the initial gathering of information for the Implementation team. These responsibilities may extend further into the implementation process
Help prepare BDEs for each finalist meeting and work with marketing on presentations when appropriate
Qualification
Required
3+ years of experience using Excel for data analytics (vlookups, pivot tables, file merging, etc.)
2+ years of financial modeling experience
Pharmacy industry analytics experience required
Four-year college degree from an accredited institution
Excellent communication and relationship building skills required
Strong analytical and organizational skills required
SFDC or Other CRM experience required
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
Company
RxBenefits, Inc.
RxBenefits is a health and wellness company that provides pharmacy benefits and administration services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Great Hill Partners
2020-12-01Private Equity
2016-01-12Private Equity
Leadership Team
Wendy Barnes
Chief Executive Officer
Kat Magnuson
Leadership Development Partner
Recent News
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Company data provided by crunchbase