
Pricing Analyst
Posted 23 hours ago

Posted 23 hours ago
This is a fully remote position, open to applicants in Ohio.
• Evaluate pricing estimates for both potential and existing clients
• Collaborate with sales and client services to guarantee timely delivery of pricing proposals
• Cultivate and sustain knowledge of pricing elements, such as pharmacy rates, client business lines, MAC, industry benchmarks, and implementation prerequisites
• Employ analytical tools to track network performance and ensure adherence to contracts
• Assist in the manufacturer rebate process from the submission of claims to the reconciliation of payments
• Collaborate with development teams to automate pricing estimates and keep pricing tables up to date
• Generate ad hoc financial reports and analyses, including cost/benefit assessments, rate evaluations, win/loss statistics, and competitive insights
• Examine historical claims usage and compile client utilization reports
• Aid in pharmacy contract negotiations through financial impact assessments
• Support reporting and data extraction tasks
• Develop and disseminate policies, procedures, and quality assurance standards for pricing practices
• Ensure appropriate storage and retention of pricing documentation
• Bachelor’s degree in Accounting, Finance, Business, or Healthcare Analytics is preferred
• Over 2 years of relevant work experience is preferred
• Background in the PBM or pricing analytics sector is preferred
• Proficiency in Microsoft Office, including Outlook, Teams, Excel, and Word is required
• Advanced skills in Microsoft Excel, including data manipulation and financial formulas, are required
• Experience in data reporting/analysis using tools such as SQL, Tableau, or Power BI is required
• Successful completion of a pre-employment background check, which includes verification of employment and education
• Successful completion of a 4-panel drug screening
• Fully remote position available from approved locations within the U.S.
• Engaging work that contributes to enhancing healthcare quality and efficiency
• Collaborative and supportive work atmosphere
• Flexible working arrangements
• Commitment to equal opportunity employment
• Reasonable accommodations provided for qualified individuals with disabilities
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