Associate Consultant, Pharmacy Benefits Financial Analytics

Overview

The organization is seeking an Associate Consultant, Pharmacy Benefits Financial Analytics for its Pharmacy Benefits Consulting practice. This role applies financial, analytical, and problem-solving skills to support the development of solutions to client issues. The Associate Consultant will work under the guidance and mentoring of senior experts and will deliver pharmacy benefits financial analytics consulting services both independently and as part of a team.

Responsibilities

• Conduct technical review and analysis of PBM data, contracts, RFPs, financial arrangements, and PBM program effectiveness.
• Perform technical analysis of RFP responses from pharmacy benefits managers, including written proposals, pricing information, contract analyses, and recommendations for project scope.
• Analyze rebates and contracting pricing strategies.
• May lead or assist with managing pharmacy benefits Requests For Proposals (RFPs) within scope, profitability, and productivity targets.
• Analyze and manage multiple projects simultaneously to develop, enhance, and maintain pharmacy benefits-related financial tools.
• Support business growth strategies and marketing initiatives by assisting leaders in business development and cross-selling efforts; contribute to the continual development of resources, efficiencies, and quality.
• Gather and share market intelligence to develop and introduce unique and/or new approaches to servicing clients.

Requirements

• 4+ years of medical or pharmacy benefits financial administration and/or audit experience, including significant exposure to tools relevant to analysis of large data sets and complex financial analysis. Previous actuarial expertise is a plus.
• Undergraduate degree in business, actuarial science, or related discipline; advanced degree preferred.
• Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing experience preferred.
• Strong demonstrated knowledge and familiarity with SQL; experience with Python a plus.
• Demonstrated project management and client servicing/relationship management skills.
• Demonstrated experience setting and leading efforts to achieve revenue and/or profitability-oriented objectives with desired results.
• Effective interpersonal and relationship-building skills with the ability to build rapport with diverse audiences.
• Passionate attention to detail and quality.

Compensation & Benefits

• Salary range: $84,000 - $105,000.

Location

• Primary location: US-NY-New York
• Travel: Yes, 10% of the time

Job Details

• Job type: Full-time
• Schedule: Regular
• Employee status: Experienced Level
• Shift: Regular Employee