RxBenefits, Inc.
Director, Pharmacy Pricing Analytics
RxBenefits, Inc., Houston, Texas, United States,
In this multi-disciplinary, cross functional role, the Director, Pharmacy Pricing Analytics will report to the Senior Director, Strategic Pricing & Analytics. The Director, Pharmacy Pricing Analytics is a key contributor to the financial reporting, and client retention process and execution. This role is responsible for maintaining updates and accuracy of financial performance quarterly reports as well as renewal pricing reports. Additionally, this role’s functions include client retention efforts with claim file requests, current account RFPs, and competing PBM comparisons. The Director also assists with resolving client issues involving rebate payment discrepancies and 340B related concerns. This role will support the Senior Director, Strategic Pricing & Analytics to continue to develop and support the process of evolving Pricing and Analytics functions. The successful Senior Financial Reporting Manager will be able to manage multiple projects at once, serve as a team player, and champion our mission and culture.
Essential Job Responsibilities Include:
Review for accuracy and finalize all current account RFPs 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 Analyst 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
Manage the maintenance of PBM reference data including Specialty, Formulary, Exclusion, and Network lists
Research and analyze discrepancies between projected rebates and payments received
Act as point of contact for the PBM partners to resolve pricing discrepancies
Partner with the Strategic Hospital team and act as internal 340B SME
Model pricing improvements and assist with PBM negotiations for improved renewal pricing and terms
Provide BOB trends and savings for broker presentations
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
Required Skills / Experience:
10 years of professional work experience in Pharmacy Benefit Management (PBM) or equivalent, is required
Bachelor’s degree is required
2+ years of PBM pricing or RFP experience is strongly desired.
Expert interpersonal, communication, and collaborative management skills
Advanced knowledge of Microsoft Office
Strong team building, relationship management, and project management skills
Independent/self-starting nature
Process and procedure oriented
Highly competent problem solver
This position may work from our Birmingham, AL headquarters or remotely from home.
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Essential Job Responsibilities Include:
Review for accuracy and finalize all current account RFPs 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 Analyst 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
Manage the maintenance of PBM reference data including Specialty, Formulary, Exclusion, and Network lists
Research and analyze discrepancies between projected rebates and payments received
Act as point of contact for the PBM partners to resolve pricing discrepancies
Partner with the Strategic Hospital team and act as internal 340B SME
Model pricing improvements and assist with PBM negotiations for improved renewal pricing and terms
Provide BOB trends and savings for broker presentations
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
Required Skills / Experience:
10 years of professional work experience in Pharmacy Benefit Management (PBM) or equivalent, is required
Bachelor’s degree is required
2+ years of PBM pricing or RFP experience is strongly desired.
Expert interpersonal, communication, and collaborative management skills
Advanced knowledge of Microsoft Office
Strong team building, relationship management, and project management skills
Independent/self-starting nature
Process and procedure oriented
Highly competent problem solver
This position may work from our Birmingham, AL headquarters or remotely from home.
#J-18808-Ljbffr