Financial Analyst

📋 Description

• Assist our pharmacy Account Management (AM) team in delivering outstanding client service to enhance customer retention.

• Provide modeling and analytics that facilitate the pricing strategies for our RxB clients.

• Conduct analytics and issue resolution for Account Management (AM).

• Offer recommendations on Plans, Custom Ad/Hoc Analytics, Custom Plan Design Analytics, and Disruptions/Analytics for groups transitioning PBM/Formulary/Pricing/Maintenance Programs, etc.

• Act as a Data Translator and provide comprehensive support for financial performance reports.

• Prepare Effective Rate Reports, conduct Reverse Repricing, and perform Pricing Comparisons and Rebate Projections.

• Collaborate weekly with the team to manage the Stop Loss Inbox, addressing new requests, issues, and ad-hoc production.

• Assist the AM team in the creation of all client-related financial performance reports.

• Deliver detailed interpretations of financial reports to illustrate the performance of our client contracts.

• Analyze instances of underperformance against guarantees in effective rates, rebates, etc.

• Support the AM team in developing the value proposition concerning financial guarantee performance.

• Draft broker/client-ready notes.

• Participate in reviews with brokers/clients.

• Analyze Proposed Savings Projections compared to initial savings estimates for new groups.

• Investigate data to identify potential issues and assess financial impacts.

• Create custom analytics/modeling for ad-hoc projects as required.

• Provide recommendations for plans based on available programs and current client configurations.

• Serve as a Subject Matter Expert (SME) for all account-related contract guarantee reports and offer training to the AM team as necessary.

⛳️ Requirements

• Minimum of 5 years of experience in pricing.

• At least 5 years of analytics experience.

• Over 5 years of experience in Pharmacy Benefit Management (PBM).

• Strong knowledge of PBM contracts, adjudication logic, and operational processes.

• Proven ability to perform in-depth analysis of claims data to assess contract performance, identify issues, and communicate findings in a clear, user-friendly manner.

• High level of data proficiency, with an exceptional capability to work with and manipulate Excel and other data tools (SAS, SQL, Snowflake, etc.).

• Excellent communication and relationship-building skills.

• 1-3 years of Underwriting experience is highly preferred.

• Experience with SFDC or other CRM platforms is preferred.

🏝️ Benefits

• Remote-first work environment.

• Choice of a High Deductible Health Plan (HDHP) or Preferred Provider Organization (PPO) Medical plan, with 100% premium coverage for the HDHP for you and your eligible family members.

• Comprehensive Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance, with 100% premium coverage (including family coverage for Dental and Vision).

• Additional buy-up options for Short- and Long-Term Disability and Life Insurance.

• 401(k) plan with an employer match up to 3.5%, available after 60 days of employment.

• Community Service Day to support and give back to your favorite causes.

• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving, plus a floating holiday for personal use.

• Reimbursement for high-speed internet, with a computer and monitors provided to ensure you can perform at your best.

• Tuition Reimbursement for accredited degree programs.

• Paid New Parent Leave available for adoption or birth.

• Pet insurance to safeguard your furry family members.

• Comprehensive mental health benefits and Employee Assistance Program (EAP) services through Spring Health to support you when needed most.