Pricing Analyst

Overview

This role involves supporting the Finance Department by analyzing pricing structures, monitoring client utilization, and providing financial insights to inform business decisions. The position partners cross-functionally to help ensure accurate pricing offers, prepare financial reports, and maintain compliance with industry and contractual requirements.

Responsibilities

• Analyze pricing estimates for prospective and current clients.
• Coordinate with sales and client services to support timely delivery of pricing offers.
• Maintain a strong understanding of pricing factors, including pharmacy rates, client line of business, MAC, industry standards, and implementation requirements.
• Use analytical tools to monitor network performance and help ensure contract compliance.
• Collaborate cross-functionally to support the manufacturer rebate process from claim submission through payment reconciliation.
• Partner with development to automate pricing estimates and maintain accurate pricing tables.
• Prepare ad hoc financial reports and analyses, including cost/benefit analysis, rate analysis, win/loss ratios, and competitive intelligence.
• Analyze historical claims utilization and prepare client utilization reports.
• Support pharmacy contract negotiations with financial impact analyses.
• Assist with reporting and data extraction as needed.
• Create and publish policies, procedures, and quality assurance standards for pricing practices.
• Ensure proper storage and retention of pricing documentation.

Requirements

• Proficiency in Microsoft Office, including Outlook, Teams, Excel, and Word.
• Advanced Microsoft Excel skills, including data manipulation and financial equations.
• Data reporting/analysis experience using tools such as SQL, Tableau, or Power BI.

Preferred Qualifications

• Bachelor’s degree in Accounting, Finance, Business, or Healthcare Analytics.
• 2+ years of related work experience.
• Experience in the PBM or pricing analytics industry.

Compensation & Benefits

• Not specified.

Location

• Fully remote opportunity (from approved locations within the U.S.).

Additional Information

• Equal opportunity employer; prohibits discrimination based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.
• Complies with the Americans with Disabilities Act (ADA) and provides reasonable accommodations to qualified individuals with disabilities.
• This posting is not all-inclusive and may change; other related duties may be assigned.
• Employment is at-will, meaning either the employee or the employer may terminate the relationship at any time, with or without cause, except as required by law.

AI Usage & Candidate Authenticity

• AI tools may be used for resume formatting or drafting application materials; however, content that misrepresents experience (including copied job descriptions or unverifiable work history) is not acceptable.
• Candidates must be able to clearly and confidently speak to all experience listed.
• Work samples, portfolio links, or other validation may be requested.
• Use of AI tools during interviews or assessments, unless explicitly permitted, will result in disqualification.

Pre-Employment Checks

• Offers are contingent upon successful completion of a pre-employment background check (including employment and education verification) and a 4-panel drug screen.