Lead Consultant, Pharmacy Pricing

🕒 May 6

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RxBenefits, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1995

⚕️ Healthcare Insurance

💳 Fintech

🤝 B2B

💰 Private Equity Round on 2020-12

Healthcare Insurance • Fintech • B2B

RxBenefits, Inc. is a company that specializes in providing innovative pharmacy benefits solutions to employers and their employees. They focus on optimizing the management of prescription drug plans to reduce costs and improve health outcomes. Through advanced analytics and personalized member support, RxBenefits aims to transform the pharmacy benefits experience for their clients.

📋 Description

• Support our IlluminateRx line of business by executing financial models, analyzing and interpreting data, supporting strategy development, implementing performance improvements and/or supporting project management activities to enhance engagement and value. • Lead a team that enables and empowers clients to realize measurable, sustainable improvements in their initiatives by driving utilization and adoption of RxB products & solutions. • Execute annual financial models for both new and existing business • Provide ad hoc analytical support to respond to pricing related pricing inquiries • Provide strategic pricing direction related to RFP pricing responses • Analyze key metrics such as utilization and cost trend, marketplace events, regulatory changes, and other factors that impact pricing • Provide leadership and direction to develop creative and innovative pricing solutions along with new program offerings • Collaborate with IT on data, to facilitate model enhancements, custom analyses, data mining, and report generation • Execute portions of assigned project plans; prioritize tasks to achieve project milestones and deliver intended objectives. • Valuate ideas for improving products/services/tools/methods in functional areas of focus. • Contribute to the development of intellectual capital materials (e.g., case studies).

🎯 Requirements

• 3+ years of people leadership is required. • 7+ years of pricing, actuarial, or underwriting experience is required. • 5+ years at a PBM or PBM Consulting Firm is required. • 3+ years analyzing / modeling / forecasting Commercial Pharmacy data required • Advanced level knowledge of MS Excel, PowerPoint, and SQL (or other coding languages) required. • Exceptional organizational, and problem-solving skills required (i.e., analyze and interpret data, identify opportunities, and develop actionable insights). • Experience with 340B, Pharmacy Revenue Integrity, Retail/Specialty Pharmacy, LDD, required. • Strong written, verbal, and interpersonal communications skills required. • Ability to think strategically and creatively to solve complex business challenges.

🏖️ 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