Principal, Pricing & Analytics

Role Description

The Principal, Pricing and Analytics provides oversight for pharmacy network activities, focusing on the alignment of pharmacy and client network strategies. This role is responsible for the integrity of financial true-ups, advanced analytics, and high-level reporting to drive organizational revenue and cost savings. The Principal manages relationships with internal and external stakeholders and oversees the analysis of large-scale claim data to optimize pricing configurations and ensure all contractual guarantees are met.

Essential Duties and Responsibilities

• Orchestrates pharmacy network strategies to fulfill corporate initiatives, support product offerings, and grow revenue streams through complex data analytics using a deep understanding of PBM industry, technical skills, and team collaboration.
• Governs all pharmacy network activities, including the execution of pharmacy and client true-ups, analytics, and performance reporting.
• Directs comprehensive analyses to identify enhanced revenue opportunities through strategic network configurations and monthly client performance evaluations.
• Translates complex pharmacy transaction data into actionable insights to ensure all pharmacy and client contract guarantees are met.
• Leads the development of automated reporting tools to streamline the reconciliation of pricing data and enhance departmental efficiency.
• Monitors and calibrates performance for all clients, adjusting pricing structures to maximize revenue while maintaining market competitiveness.
• Spearheads the implementation of strategic pricing initiatives in collaboration with cross-functional teams.
• Manages the rigorous tracking and monitoring of pricing benchmarks to ensure consistent alignment with contractual obligations.
• Provides expert guidance on network performance and pricing trends to internal stakeholders and senior management.
• Engineers advanced analytical models to forecast the financial impact of proposed network changes or pricing adjustments.

Qualifications

• BA/BS Degree; 10+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience).
• Advanced SQL knowledge, Expert Microsoft Excel, and Golden (SQL query tool).
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.

Requirements

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
• Ability to apply concepts of basic algebra and geometry.

Benefits

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

Company Description

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.