ProAct - PBM · 4 hours ago
Pricing Specialist
ProAct - PBM is a multistate organization focused on maximizing profitability through effective pricing strategies. The Pricing Specialist will monitor and report on network pricing items, analyze claims data, and assist with data analytics requests to enhance performance and cost savings.
BiopharmaHealth CarePharmaceutical
Responsibilities
Monitor and adjust client network pricing to ensure that client targets are met while maximizing ProAct performance
Analyze, develop, and present reporting on individual client performance to ensure contractual optimization
Submit pricing adjustments and ensure they were put in place correctly
Submit pricing for new clients prior to effective start date
Complete the daily dashboard for client’s performance for generics and specialty
Complete client performance reconciliations
Responsible for preparing savings, disruption, copay modeling, and impact reports
Create metric models to assist upper management in financial decision making
Assist in day-to-day ad hoc reporting/data analytics requests as needed
Responsible for preparing savings, disruption, copay modeling, and impact reports
Collaborate with Finance to understand problems and define business requirements
Collaborate with various department managers to identify, develop, and maintain reporting needs
Responsible for preparing standard reports for clients, management and staff utilizing the ProAct suite of reporting tools which include Microstrategy and SSRS
Automate reporting where possible to ensure department efficiency
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
Exceptional attention to detail, written, interpersonal and communication skills
Must be able to effectively communicate internally and externally, via phone and through email
Strong PC skills including Microsoft Office, SQL, Powerbi, and Microstrategy
Must be able to work independently
Strong analytical skills
Through knowledge of financial systems and analysis
Minimum: high school diploma
Must be proficient with prior experience using Excel
Must possess knowledge of security concepts applicable to this role and function
Preferred
associate degree or higher
1-year previous experience in a health benefits related field
Company
ProAct - PBM
At ProAct, we strive to produce innovative, affordable and flexible prescription drug benefit solutions for the client by combining industry leading client service with the latest in PBM technology.
Funding
Current Stage
Late StageCompany data provided by crunchbase