Lead Consultant, Pharmacy Pricing

📋 Description

• Assist our IlluminateRx business line by executing financial models, analyzing and interpreting data, supporting strategy formulation, implementing performance enhancements, and/or assisting with project management tasks to boost engagement and value.

• Lead a team dedicated to enabling clients to achieve measurable and sustainable improvements in their initiatives by promoting the use and adoption of RxB products and solutions.

• Implement annual financial models for both new and existing business ventures.

• Offer ad hoc analytical assistance to address pricing-related inquiries.

• Provide strategic pricing guidance for RFP pricing submissions.

• Analyze critical metrics such as utilization rates, cost trends, marketplace developments, regulatory changes, and other factors influencing pricing.

• Offer leadership and direction to create innovative pricing solutions along with new program offerings.

• Collaborate with IT on data to facilitate enhancements to models, custom analyses, data mining, and report generation.

• Execute segments of assigned project plans; prioritize tasks to meet project milestones and achieve intended goals.

• Evaluate ideas for enhancing products, services, tools, and methods in relevant functional areas.

• Contribute to the creation of intellectual capital materials (e.g., case studies).

⛳️ Requirements

• A minimum of 3 years in a leadership role is required.

• At least 7 years of experience in pricing, actuarial, or underwriting is required.

• A minimum of 5 years in a PBM or PBM Consulting Firm is required.

• Requires at least 3 years of experience in analyzing, modeling, or forecasting Commercial Pharmacy data.

• Advanced proficiency in MS Excel, PowerPoint, and SQL (or other coding languages) is required.

• Exceptional organizational and problem-solving abilities are required (e.g., analyze and interpret data, identify opportunities, and develop actionable insights).

• Experience with 340B, Pharmacy Revenue Integrity, Retail/Specialty Pharmacy, and LDD is required.

• Strong written, verbal, and interpersonal communication skills are required.

• Ability to think strategically and creatively to address complex business challenges.

🏝️ Benefits

• Remote-first work environment.

• Choice between a HDHP or PPO Medical plan, with 100% of the premium for the HDHP covered for you and your eligible family members.

• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance, with premiums fully covered (including for your family on 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.

• Community Service Day to give back and support your passions within the community.

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

• Reimbursements for high-speed internet, along with a computer and monitors provided to facilitate your best work.

• 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 an EAP service through Spring Health, designed to support you during challenging times.