Assistant Vice President – Pharmacy Analytics

This is a fully remote position, open to applicants in Colorado, +3 more states.

📋 Description

• Act as a trusted advisor for employer clients regarding pharmacy benefit strategies, plan design, and cost management opportunities.

• Lead and facilitate PBM market checks, renewals, procurement initiatives, and formal RFP processes.

• Manage the daily operations of the Pharmacy Analytics practice for Howden’s middle market teams, which includes workflow planning, prioritization, resource allocation, and delivery oversight.

• Oversee the intake, scoping, and work assignment for PBM RFPs, rebate reconciliations, market analyses, contract reviews, and various financial assessments.

• Evaluate PBM financial proposals, pricing guarantees, rebate agreements, dispensing fees, and contractual conditions.

• Create, maintain, and supervise claim-level and aggregate financial models.

• Set modeling standards, document assumptions, implement quality-control processes, and manage peer reviews.

• Analyze PBM claims, eligibility, formularies, rebates, specialty, and financial data; identify data-quality issues; and convert findings into client recommendations and executive-level deliverables.

• Offer strategic insights on specialty pharmacy, biosimilars, GLP-1 medications, cell and gene therapies, and emerging market trends.

• Review and negotiate provisions in pharmacy contracts and performance guarantees.

• Prepare and present client deliverables, executive summaries, and recommendations to employer leadership teams.

• Assist in finalist presentations, vendor assessments, and implementation processes.

• Collaborate with account teams, producers, and subject matter experts to identify growth opportunities and enhance client service.

• Build and nurture relationships with PBMs, specialty pharmacies, clinical vendors, and other strategic partners.

⛳️ Requirements

• Over 7 years of experience in pharmacy consulting, PBM account management, PBM underwriting, pricing, trade relations, clinical strategy, or similar pharmacy benefit roles.

• Proven knowledge of PBM contracting, rebate programs, pharmacy pricing methodologies, and specialty drug management.

• Advanced skills in pharmacy financial modeling and analysis.

• Experience in constructing and reviewing claim-level models, assessing PBM pricing proposals, validating contract guarantees, and handling large pharmacy claims data sets.

• Exceptional understanding of pharmacy analytics capabilities, methodologies, coverages, and services.

• Comprehensive knowledge of PBM data layouts, claims and eligibility files, contract structures, financial terms, pricing guarantees, rebate agreements, and essential pharmacy data concepts.

• Capability to oversee analytical workflows, prioritize competing requests, assign tasks efficiently, review outputs, and communicate modeling assumptions, limitations, and results to both technical and non-technical stakeholders.

• Ability to convert complex pharmacy concepts into practical recommendations.

• Strong presentation, communication, and relationship management abilities.

• Experience in managing multiple projects and client deliverables in a dynamic environment.

• Advanced proficiency in Excel and PowerPoint.

• Familiarity with pharmacy analytics and reporting tools is preferred.

• Willingness to travel periodically for client meetings, conferences, and business development opportunities.

🏝️ Benefits

• Discretionary bonus.

• Medical, dental, and vision insurance, including healthcare savings and reimbursement accounts.

• 401(k) retirement plan.

• Flexible Paid Time Off.

• Paid parental leave.

• Life and Disability insurance.

• Reasonable accommodations, including software, IT, and office setup adjustments.

• Flexible hours or hybrid working options where available.