RxBenefits, Inc. · 1 day ago
PBM Pricing Informatics Consultant
United States
Full-time
Remote
Senior Level
5+ years expRxBenefits, Inc. is seeking a PBM Pricing Informatics Consultant who will be a key contributor to financial modeling, analytics, and data integrity. This role involves designing complex financial models, resolving client issues, and supporting the development of Pricing and Analytics functions.
FitnessHealth Care
Responsibilities
Review for accuracy and finalize all pricing logic is SAS, Snowflake, DataNet, and Keystone
Provide strategic pricing insights to support the AM, BDE, and Finance teams
Manage and support ongoing changes to Project Prism, our internal modeling tool
Respond to competing PBM offers to show RxBenefits pricing value and provide creative solutions to pricing barriers
Prepare quarterly reports associated with financial performance
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 and actual savings and a client and BOB level
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
Directly manages and supports a team to review progress, ensure achievement of key outcomes, and provide professional development opportunities for team members
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
Required
5+ years of PBM pricing or analytics experience is required
Data management experience is required
Advanced knowledge of Microsoft Office, Advanced Excel experience required
Coding knowledge is required (SAS, Keystone, Snowflake, SQL)
Expert interpersonal, communication, and collaborative management skills
Strong team building, relationship management, and project management skills
Independent/self-starting nature
Process and procedure oriented
Highly competent problem solver
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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