Lead Consultant, Pharmacy Pricing

Job Opportunity At RxBenefits

In this role, you will support our IlluminateRx line of business by executing financial models, analyzing and interpreting data, supporting strategy development, implementing performance improvements and or supporting project management activities to enhance engagement and value. You will lead a team that enables and empowers clients to realize measurable, sustainable improvements in their initiatives by driving utilization and adoption of RxB products & solutions.

Essential job responsibilities include:

• Perform individual contributor functions, while managing the day-to-day work of up to 3 associates.
• Execute annual financial models for both new and existing business
• Provide ad hoc analytical support to respond to pricing related pricing inquiries
• Provide strategic pricing direction related to RFP pricing responses
• Analyze key metrics such as utilization and cost trend, marketplace events, regulatory changes, and other factors that impact pricing
• Provide leadership and direction to develop creative and innovative pricing solutions along with new program offerings
• Collaborate with IT on data, to facilitate model enhancements, custom analyses, data mining, and report generation
• Execute portions of assigned project plans; prioritize tasks to achieve project milestones and deliver intended objectives.
• Evaluate ideas for improving products / services / tools / methods in functional areas of focus.
• Contribute to the development of intellectual capital materials (e.g., case studies).

Required skills / experience:

• 3+ years of people leadership is required.
• 7+ years of pricing, actuarial, or underwriting experience is required.
• 5+ years at a PBM or PBM Consulting Firm is required.
• 3+ years analyzing / modeling / forecasting Commercial Pharmacy data required
• Advanced level knowledge of MS Excel, PowerPoint, and SQL (or other coding languages) required.
• Exceptional organizational, and problem-solving skills required (i.e., analyze and interpret data, identify opportunities, and develop actionable insights).
• Experience with 340B, Pharmacy Revenue Integrity, Retail/Specialty Pharmacy, LDD, required.
• Strong written, verbal, and interpersonal communications skills required.
• Ability to think strategically and creatively to solve complex business challenges.

Preferred skills/experience:

• Regulatory knowledge of pharmaceutical industry, pharmacy supply chain, and GPO contracting preferred.

Based on relevant market data and other factors, the anticipated hiring range for this role is $105,600 to $132,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.

We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.

RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:

• Remote first work environment
• Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
• Additional buy-up options for Short- and Long-Term Disability and Life Insurance
• 401(k) with an employer match up to 3.5% available after 60 days
• Community Service Day to give back and support what you love in your community
• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
• Reimbursements for high-speed internet, we'll send you a computer and monitors to help you do your best work
• Tuition Reimbursement for accredited degree programs
• Paid New Parent Leave that can be used for adoption or birth
• Pet insurance to protect your furbabies
• A robust mental health benefit and EAP service through Spring Health to support you when you need it most

RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.