PBM Pricing Strategy Analyst Manager

PBM Pricing Strategy Analyst Manager

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The PBM Pricing Strategy Analyst Manager will be responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions.

How you will make an impact:

• Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities.
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing.
• Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention.
• Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.
• Implements pricing in the system related to margin.
• Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.
• Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MBA strongly preferred.
• Intermediate Excel experience and analytical skills strongly preferred.
• Pharmacy underwriting/PBM experience strongly preferred.
• Medical underwriting experience preferred.
• Excellent verbal and written communication skills preferred.
• Contraxx or similar contract management tool experience preferred.
• Teradata experience preferred.
• Domo experience preferred.
• Prior leadership, coaching, and/or mentoring experience preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $102,640 to $177,054.

Locations: Illinois; Massachusetts; Minnesota; Virginia

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non-Management Exempt

Workshift: Job Family: AFA > Financial Operations