RxBenefits, Inc. · 13 hours ago
Manager, Strategic Pharmacy Analyst
United States
Full-time
Remote
Mid, Senior Level
$96K/yr - $120K/yr
5+ years expRxBenefits, Inc. is hiring a Manager, Strategic Pharmacy Analyst to lead a team of analysts within their Revenue Operations organization. This role is responsible for managing team performance, coaching analysts, and ensuring operational alignment to support Business Development goals.
FitnessHealth Care
Hiring Manager
Haley Vines, aPHR
Responsibilities
Partner with Revenue Operations and Business Development leadership to set clear goals for the team in alignment with territory assignments and pipeline management to support closing new lives
Partner with Client Onboarding, Product Development, Marketing, Account Management, PBM Relations, Broker Relations, Finance, and various other RxBenefits departments to maintain operational alignment for the SPA team
Display a deep understanding of RxBenefits, the role we play in the market, and act as a liaison between vendors, PBM partners, and internal departments where applicable
Maintain and improve upon a strong small team culture including a culture of accountability by reinforcing the roles and responsibilities of your team and the RxBenefits Core Values
Meet with direct reports on a weekly basis to review their progress towards goals, provide mentorship, discuss areas of improvement, build strong rapport, and coach toward self-sufficiency for mastering their role and responsibilities
Work closely with department leadership to drive a training plan focused on developing and reinforcing critical competencies including mastery of excel for all reporting, new product impacts on pharmacy utilization, and developing process updates for accuracy and efficiency
Work closely with department leadership to establish the future evolution of the SPA function in an increasingly complex and competitive marketplace
Be exceptionally open and proactive to address problems, provide creative solutions, and present clear recommendations that coalesce across RxBenefits departments and the SPA and Financial Analyst team
Oversee new opportunities for the SPAs on your team including Salesforce (SFDC) completeness, turnaround time, and analytics accuracy where applicable
Directly Manage a Team of SPAs to ensure your direct reports achieve the following objectives:
Operate as the central project managers 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 their own 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, business partner/FA insights consultant mindset, and ensuring the results are communicated with the highest impact externally
Master the processes to 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
Become a 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
Become a 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
Become a 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
Become a 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 a SME on new RxBenefits Product offerings in a detailed level to communicate the impacts on new prospect opportunities to BD teammates and Broker clients
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
Help prepare BDEs for each finalist meeting and work with marketing on presentations when appropriate
Qualification
Required
Four-year college degree from an accredited institution
Advanced MS Excel user (vlookups, pivot tables, file merging, etc.) required
SFDC or Other CRM experience required
5 years' minimum in a sales organization with customer facing responsibilities
Pharmacy industry analytics experience required
Exceptional communication and relationship building skills required
Strong analytical and organizational skills required
Highly collaborative team player / leader
Preferred
Leadership / Team Management experience 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
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
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