Manager, MAC Pricing and Analytics

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WellDyne

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1990

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • Pharmaceuticals • Healthcare Insurance

WellDyne is a pharmacy benefit management (PBM) company that provides specialty pharmacy services, prescription discount solutions, utilization management, mail-order and central fill pharmacy operations, and outsourced pharmacy solutions. The company emphasizes clinical programs, adherence initiatives, data analytics, and personalized engagement to reduce drug costs and improve outcomes, particularly for high-cost specialty medications. With about 25 years of experience and locations in Lakeland, FL and Centennial, CO, WellDyne positions itself as an alternative to traditional PBM models by offering flexible plan design, dedicated account management, and industry-focused clinical expertise.

📋 Description

• Maintain our MAC series to ensure our lists include the appropriate drugs while allowing WellDyne the flexibility to hit client and pharmacy guarantees • Manage funded MAC lists to ensure value received from Integrated Cash and to assist Pricing • Performance in removing Client overperformance and ensuring Client underperformance is within target band • Set discount card pricing strategy in consultation with others across the Supply Chain organization and create the necessary price files to execute on the strategy • Lead Discount Card performance monitoring, with ongoing review of reporting on pharmacy and client-side pricing for all networks and clients to identify and correct issues • Assist with ensuring state compliance and responding to requests from state regulatory agencies • Participate in budgeting and forecasting activities that intersect with drug-level pricing • Facilitate collection of market price points and use this competitive intelligence to refine pricing strategy • Analyze claim pricing and manipulate large sets of data through SQL queries and Excel formulas • Other duties as assigned

🎯 Requirements

• Bachelor’s Degree from an accredited college or university • 3+ years’ experience in pricing/financial analytics, at least one of which included supervisory responsibilities. • Fluency in PBM value levers and intersection with MAC management and other drug pricing activity • Ability to communicate with all levels of management in an effective manner • Excellent organization and time management skills, with ability to manage multiple projects simultaneously • Advanced proficiency in Excel (nested and dynamic array formulas, logical formula chains, pivot tables) • Understanding of data structures and proficiency in SQL and Tableau • Must be able to contribute independently as well as support and contribute to the achievement of team goals.

🏖️ Benefits

• EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind.