Pricing Analyst - REMOTE

Posted 18 Hours Ago
Be an Early Applicant
Home, KS
65K-97K Annually
Junior
Insurance
The Role
The Pricing Analyst analyzes pharmacy claims data to assess Prime’s financial pricing programs. They use mathematical techniques and databases to produce reports, verify data integrity, develop financial models, and collaborate with stakeholders to meet financial pricing objectives.
Summary Generated by Built In

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Pricing Analyst - REMOTEJob Description

The Pricing Analyst maintains, provides analyses, consults and conducts financial modeling in support of Prime’s financial pricing programs and/or underwriting functions. This position uses analytics to develop reporting, models and methodologies in support of Prime’s financial pricing strategies and assists with high-complexity pricing analyses.

Responsibilities

  • Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & accuracy of Prime’s financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations
  • Apply mathematical, statistical, and economic techniques to analyze multi-faceted and high dimensional pharmacy supply chain economic data, including market pricing, to draw conclusions, adjust drug pricing, and update forecasts based on market
  • Verify the integrity of data used for analysis of Prime’s financial pricing programs, including data extraction, storage, manipulation, processing and analysis
  • Analyze claims data of varying complexity to identify and mitigate financial pricing issues that impact client and pharmacy financial pricing guarantee management
  • Assist in achieving pricing objectives using analytic tools to develop financial pricing models, dashboards, trend reporting, profitability, margin, and savings analyses
  • Collaborate with internal stakeholders to identify and define financial pricing requirements and assist with developing solutions to achieve financial pricing objectives
  • Other duties as assigned

Minimum Qualifications

  • Bachelor’s degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 2 years of work experience in pricing or financial analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Demonstrated understanding of data modeling, data analysis, and data management principles using SQL, SAS, Alteryx, R, Python or related technologies
  • Detail oriented and ability to work with a high degree of accuracy
  • Demonstrated ability to problem solve and interpret complex data
  • Ability to work independently and meet strict deadlines
  • Excellent communication and cross functional collaboration skills

Preferred Qualifications

  • Experience creating pricing and profitability models
  • Experience in PBM pricing
  • Experience in Big Data and Data Analytics.
  • Experience using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies
  • Proficient in Excel

Minimum Physical Job Requirements

  • Ability to work in a flexible schedule which may include weekends, holidays, or shifts outside of Prime’s core business hours of 9:00am-3:00pm
  • Constantly required to sit, use hands to handle or feel, talk and hear
  • Frequently required to reach with hands and arms
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

  • Reports to Manager or Director in the Network Management department

Potential pay for this position ranges from $64,700.00 - $97,100.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Top Skills

Alteryx
Python
R
SAS
SQL
The Company
HQ: Eagan, MN
3,577 Employees
On-site Workplace
Year Founded: 1987

What We Do

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.

In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US.

In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products:
• NetResults™
• Specialty Drug Management
• Best in Care™
• GuidedHealth®
• Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations
• Prime Analytics™
• CareCentered Contracting™Controlled Substance Management Program

Join us!
Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career.

At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact.

Follow Prime on LinkedIn to learn more.

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