Overview
This role supports pricing and financial performance oversight by reviewing guarantee performance for assigned clients, producing monthly reporting, and partnering across Underwriting, Networks, Sales/Account Management, Audit, and Legal to analyze contract terms and inform pricing strategy.
Responsibilities
- Perform monthly data pulls for assigned guarantee clients; review performance results, drug mix, and utilization to identify opportunities to mitigate financial risk to the organization.
- Collaborate with underwriting, finance, and accounting partners to understand and improve gaps and overlaps in processes and to analyze the multiple components and factors impacting a client’s financial performance.
- Conduct lookback analysis to review underwriting assumptions against contract language and actual results, providing recommendations for future improvements to senior leadership.
- Develop reporting packages and presentations for management; create best practices and draw conclusions to support critical business decisions.
Required Qualifications
- 3+ years of experience creating financial models and working with large data sets in a database environment.
- 3+ years of experience managing multiple projects and delivering results timely.
- 2+ years of experience with SQL/Google Cloud BigQuery.
- Must be proficient in Excel.
Preferred Qualifications
- Knowledge of health insurance, managed care, or pharmaceutical industry.
- 2+ years of PBM experience, preferably in drug pricing and analytics.
Education
- Bachelor’s Degree or equivalent work experience.
Compensation & Benefits
- Pay Range (Typical): $46,988.00 - $102,000.00
- Actual base salary offer depends on factors including experience, education, geography, and other relevant factors.
- Eligible for a bonus, commission, or short-term incentive program in addition to the base pay range listed above.
- Full-time position includes eligibility for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources (based on eligibility).
Location & Schedule
- Anticipated Weekly Hours: 40
- Time Type: Full time
Application Deadline
- The anticipated application window closes on: 10/15/2026
Equal Employment Statement
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.