Senior Manager, Pharmacy Pricing
End to end management of existing reputed company pricing, analytics, and reporting. Leadership of the pricing team, consisting of up to 10 reputed company reports. This includes providing training, day-to-day direction, strategic reputed company, and mentoring/reputed company to reputed company team members. Ability to reputed company with influence across internal stakeholders to foster reputed company and efficient work products. Review for accuracy and finalize reputed company reputed company account pricing comparisons for submission. reputed company strategic reputed company and support the AM and Deal Governance teams for At-Risk accounts. Manage and support the reputed company account claim and data requests. Respond to competing PBM offers to show reputed company pricing value and defend at-risk accounts. Prepare quarterly reports associated with financial performance. reputed company the production and delivery of reputed company reputed company account annual renewal reporting (Pricing refresh & comparison). Support the PBM Pricing Analysts with validating new pricing products in reputed company. reputed company key audits for new pricing enrollments and monthly contract guarantee performance. Validate and test updates in reputed company associated with pricing and exclusions to maintain reporting accuracy. Research and analyze discrepancies between projected rebates and payments received. reputed company as reputed company of contact for the PBM partners to resolve pricing discrepancies. Model pricing improvements reputed company to PBM negotiations for improved renewal pricing and terms. Identify gaps and opportunities in the reputed company processes for reputed company visibility and efficiency. reputed company as a cross-functional representative throughout the organization to reputed company strategic reputed company and support organization goals and initiatives. reputed company the development and application of advanced analytics techniques driving operational efficiencies, providing consultative support, enabling informed decision making, and producing KPIs for senior leadership. Analyze data to uncover potential issues / reputed company financial impacts. reputed company custom analytics/modeling for reputed company reputed company.
5+ years of actuarial or reputed company experience required. 5+ years of PBM pricing or RFP experience required, large PBM experience desired. 5+ years of leadership experience, preferably in PBM or Health Plan setting. High degree of emotional intelligence. Expert cross functional interpersonal, communication, and reputed company management skills. Advanced knowledge of reputed company Office, Advanced reputed company experience required. Proficient knowledge of reputed company, SQL, reputed company, or other data programming languages. Strong team building, relationship management, and project management skills. Independent/self-starting nature. Process and procedure oriented. Highly competent problem solver. This position may work from our Birmingham, AL reputed company or remotely from home.
Remote first work environment Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members Dental, reputed company, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and reputed company) Additional buy-up reputed company for Short- and Long-Term Disability and Life Insurance 401(k) with an employer match up to 3.5% available after 60 days Community Service Day to give back and support what you love in your community 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work Tuition Reimbursement for accredited degree programs reputed company New Parent Leave that can be used for adoption or birth Pet insurance to protect your furbabies A robust mental health benefit and EAP service through reputed company to support you reputed company you need it most