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90 Response Informatics Jobs
PBM Pricing Analyst
Response Informatics
posted 20d ago
Job Role Insights
Fixed timing
Key skills for the job
Job Description
opportunity to collaborate with cross-functional teams, contribute to strategic decision-
making and to the success of our sales and client retention efforts.
Essential Job Responsibilities Include:
- Analyze complex claims data sets to complete pricing exercises and data requests including claims summary, pricing terms, exclusions, and benefit design changes etc.
- Apply the appropriate pricing and rebate terms for each account; understandingthe options and implications for each PBM offered including formulary, retail and specialty networks, maintenance and Clinical program selections, fees, plan tier structure, member size, drug utilization, and government regulations.
- Ability to read and interpret client contractual documents to verify applicable pricing and rebate terms and conditions.
- Provide claims files and draft a client ready email upon request.
- Provide formulary and network disruption reports, as well as other reporting relevant to the role. This may include both adhoc and standard monthly/quarterly reporting.
- Support new business as well as client retention efforts.
- Collaborate with the Proposal, Deal Governance and Account Management teams and other stakeholders as required.
- Prepare for and attend all stakeholder calls as the pricing Subject Matter Expert(SME), serving as the primary point-person for pricing and communicating technical subjects clearly and concisely.
- Clearly communicate milestones and deliverables to all interested parties.
- Complete accurate pricing responses within specified timelines for on-time delivery.
- Assist in enhancing and maintaining standard pricing responses, methodology, process documents, trackers, templates, and libraries
- Understand relevant market, industry, and competitive information.
- Maintain the highest standard of quality for all company materials.
- Strong analytical, pricing, and modeling experience required.
- 1-3 years PBM or Health industry experience required, Commercial experience preferred.
- PBM pricing and RFP experience preferred.
- Process oriented with the ability to maintain project timelines and stakeholder engagement.
- Strong communication and organization skills required.
- Advanced MS Excel user (pivot tables, etc.) required, SAS/SQL experience preferred
- SalesForce experience preferred.
- Four-year college degree from an accredited institution, or commiserate experience
Employment Type: Full Time, Permanent
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