Principal Business Analyst - Pricing and Underwriting

Role Description

The Principal Business Analyst manages the compilation, analysis, and reporting of data for pricing contracts for PBM services and other pharmacy business units. Apply experiences with various PBM contract types (pass through and traditional) along with product/service mix to deliver ranges of client contract pricing options.

Work cross-functionally with members of pricing team, finance, clinical and other groups along with Sales/Account Management to employ strategy around setting market pricing while meeting financial objectives. Utilize SQL, Excel, and data visualization tools to aid in performance quantitative and qualitative analysis, financial modeling, and economic forecasting.

Responsibilities

• Oversee and implement VytlOne’s pricing strategy for VytlOne’s PBM opportunities.
• Drive full pricing process for traditional and pass through PBM RFP opportunities.
• Gather, assess and evaluate quantitative elements of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc.
• Research and monitor competitors and industry trends.
• Streamline processes and models to drive efficiency and accuracy.
• Provide financial support for prospect contract negotiations and respond to RFP financial requests.
• Assist in presenting pricing model and strategy to senior leadership.
• Communicate range of pricing scenarios/options to internal stakeholders.
• Lead intradepartmental projects and company projects.
• Work with Sales and Leadership teams in creating pricing and product positioning strategies.
• Lead functional & organizational initiatives as required.
• Develop, maintain and distribute ad-hoc reports and financial models as needed.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Qualifications

• Bachelor’s Degree in Accounting, Finance, or Economics.
• Minimum of 8 years’ experience completing complex analytical, financial analysis for PBM services in both traditional and pass through PBM contract models.
• Knowledge of pricing inputs and services mix for contracted PBM services across both traditional and pass through pricing methodologies.
• Experience working with many aspects of PBM Underwriting including, but not limited to, Health Systems, Commercial lines of business, Government Programs, and Coalitions.
• Advanced knowledge of Microsoft Excel & Word.
• Basic SQL proficiency utilizing functions, statements such as SELECT, CASE, or JOIN, and conditional operators.
• Can independently manage all aspects of pricing RFPs and renewals with minimal supervision in coordinating with other teams to complete projects.
• Extensive PBM industry knowledge required and the ability to be the Underwriting team’s liaison with other departments to manage interdepartmental projects.
• Ability to analyze data specific to client opportunity, consider context of company strategies and offer actionable pricing recommendations.
• Extensive experience reviewing, analyzing and assessing complex and unstructured data.
• Ability to work on multiple tasks and prioritize deadlines.
• Experience coordinating deadlines and deliverables across multiple teams to achieve operational change.
• Contribute productively and work cohesively with cross-functional teams in operations, sales, account management and finance in fast paced, dynamic environment.
• Excellent written and verbal communication skills, with presentation experience in front of Senior Leadership.
• Strong initiative and ability to manage multiple projects, as well as, strong follow through skills.
• Must be detail oriented with strong organizational skills.

Benefits

• Diverse and inclusive work culture that supports a flexible work model.
• Mission-driven organization focused on improving healthcare outcomes.
• Competitive compensation and a comprehensive health benefits package.
• Comprehensive mental health and wellbeing resources.
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design.
• Company-paid basic life/AD&D, short-term and long-term disability insurance.
• Rx, dental, vision, other voluntary benefits, and FSA.
• Employer-matched 401k Plan.
• Industry-leading PTO plan.
• And more!