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RxBenefits, Inc. · 2 days ago

Senior Manager, Pharmacy Pricing

United States

Full-time

Remote

Senior Level

$136K/yr - $160K/yr

5+ years exp

RxBenefits, Inc. is a company focused on pharmacy benefits management, and they are seeking a Senior Manager, Pharmacy Pricing to lead their pricing team. This role involves managing client pricing, analytics, and reporting, while also providing strategic direction and support for client retention and performance issues.

FitnessHealth Care

Responsibilities

End to end management of existing client pricing, analytics, and reporting

Leadership of the pricing team, consisting of up to 10 direct reports. This includes providing training, day to day direction, strategic vision, and mentoring/growth to all team members

Ability to lead with influence across internal stakeholders to foster collaborative and efficient work products

Review for accuracy and finalize all current account pricing comparisons for submission

Provide strategic insight and support the AM and Deal Governance teams for At-Risk accounts

Manage and support the current account claim and data requests

Respond to competing PBM offers to show RxBenefits pricing value and defend at-risk accounts

Prepare quarterly reports associated with financial performance

Lead the production and delivery of all current account annual renewal reporting (Pricing refresh & comparison)

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 rebates and payments received

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

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 experienceAdvanced ExcelLeadership experienceSASSQLSnowflakeEmotional intelligenceInterpersonal skillsCommunication skillsProject managementProblem solving

Required

5+ years of actuarial or underwriting experience required

5+ years of PBM pricing or RFP experience required, large PBM experience desired

5+ years of leadership experience, preferably in PBM or Health Plan setting

High degree of emotional intelligence

Expert cross functional interpersonal, communication, and collaborative management skills

Advanced knowledge of Microsoft Office

Advanced Excel experience required

Proficient knowledge of SAS, SQL, Snowflake, or other data programming languages

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