RxBenefits, Inc. · 1 day ago
Financial Analyst
United States
Full-time
Remote
Mid Level
$57K/yr - $71K/yr
3+ years expRxBenefits, Inc. is hiring a Financial Analyst to join their Pricing Team. The role focuses on strategic pricing responses to RFPs and ensures the accuracy of analyses and reports to support new business acquisition.
FitnessHealth Care
Responsibilities
Participate in strategic and cross-functional meetings, ensuring alignment on business goals and operational efficiencies
Oversee and prioritize workload distribution, ensuring optimal resource allocation and timely project execution
Create, update, and standardize Standard Operating Procedures (SOPs) to ensure clarity and compliance across teams
Create, maintain, and lead training initiatives including conducting training sessions, introducing new hires to job responsibilities, company policies, and procedures
Organize, refresh, and enhance training materials to support ongoing employee development and knowledge retention
Own and manage template updates including pricing, formulary, legal, product, and formulary changes while also identifying opportunities to streamline and improve template design and functionality to enhance efficiency
Perform accuracy reviews and additional support functions for the leadership team on RxBenefits Pricing updates across all partner PBMs
Generate and deliver ad hoc reports across various business topics providing timely and accurate data insights to support decision-making processes and to drive organizational improvements across departments
Be a Subject Matter Expert and dedicated resource for more complex and high-profile BD territories including Strategic, Hospital, and National
Employ a consultative mindset with your SPA and BD team to gather complete information which includes new opportunity claims files, rebate reporting, plan designs, incumbent/renewal contracts, competing offers, group census’, and additional financial/clinical reporting
Perform deep dives into claims files provided, validating various data sets from multiple vendors and PBMs to ensure RxBenefits has the necessary requirements for our repricing process, formulary disruption analysis, clinical product modeling, and third-party product solutions
Be a Subject Matter Expert (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, and utilization trends
Be a Subject Matter Expert (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
Apply the appropriate pricing schemes for each new business opportunity, understanding 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, drug utilization, and government regulations
Be a Subject Matter Expert (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 prospect opportunity
Advise the SPA/BDE of any missing critical information that affects the accuracy and completeness of Financial Analyses, Comparative Analyses, RFP’s, and provide a recommended course of action as required
Assist the SPA and RFP writer in completing full RFPs, with a primary focus on completion of various ad hoc claim by claim reprices, formulary disruption, and pharmacy network reports
Maintain flexibility with constantly changing RxBenefits PBM drug lists and the effects this has on formulary tier changes, specialty designations, and LDD designations for new business opportunities
Assist the SPA in producing ad hoc reporting for BD, Brokers, and various RxBenefits team members to answer a broad range of questions around reprice, disruption, and member impacts for new opportunities with varying degrees of urgency to close business
Produce and verify new RxBenefits Product offerings using proprietary analytics systems to support the most up to date Financial and Clinical modeling for new business opportunities
Coordinate with Implementation to complete disruption analyses on sold groups and any other ad hoc reports needed
Utilize Salesforce to track open opportunities to completion and complete Pricing Reviews when necessary
Qualification
Required
1-2 years of pharmacy financial analyses experience is required
3 years' experience at a Pharmacy Benefit Manager is required
Advanced MS Excel user (vlookups, pivot tables, file merging, etc.) required
Proven communication and relationship building skills required
Strong analytical and organizational skills required
Attention to detail and high-level time management skills required
Preferred
1-3 years Underwriting experience is heavily preferred
SFDC or other CRM experience preferred
Data language skills (SAS, SQL, Snowflake, etc) heavily 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
Recent News
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Company data provided by crunchbase