Overview
This role supports analytics and financial strategy related to formulary rebate and pharmacy network optimization. You will work with a small, collaborative team to help drive improved health and financial outcomes for consumers through advanced analytics, clinical insights, and digital capabilities.
Responsibilities
- Provide analytics support and recommendations to senior leadership on initiatives related to formulary rebate and pharmacy network optimization strategies
- Develop tools and processes to monitor revenue performance and implement tasks to meet or exceed performance targets
- Create and implement metrics and measures to establish performance objectives for revenue maximization
- Collaborate with business partners to understand goals, develop predictive modeling, statistical analyses, data reports, and performance metrics
- Design and maintain policy and procedures supporting overall compliance, including contract and state/regulatory requirements
- Use technology expertise to identify and implement automation opportunities through artificial intelligence across the enterprise
Requirements
- Degree in Business, Mathematics, Actuarial Science, or other related area, or equivalent work-related experience
- 3+ years’ experience in Pharmacy Benefit Manager (PBM) experience
- Ability to understand and evaluate risk
- Experience supporting and managing contractual guarantees
- 1+ years’ experience with modeling and data management
- Advanced SQL, DB Visualizer, and Excel skills required
- Tableau/Power BI experience a plus
- Strong organizational and decision-making skills with a high degree of mathematical aptitude
- Excellent written and oral communication skills
- Attention to detail
- Ability to interact with senior management and key business users
- Demonstrated ability to multi-task
Compensation & Benefits
- Comprehensive total rewards package including medical, dental, and vision coverage
- 401(k) plan with company match
- Paid time off, holidays, and parental leave
- Professional development reimbursement opportunity
- Discretionary bonus and/or equity awards (such as restricted stock units or stock options) may be available annually based on individual and business performance
- Actual base salary varies based on relevant skills, prior experience, education, demonstrated performance, and geographic location
- Expected base salary:
- New Jersey: between $95,000 USD to $105,000 USD
- Massachusetts: between $95,000 USD to $105,000 USD
Location
100% Remote