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 TitlePricing Analyst Senior - RemoteJob DescriptionThe Senior Pricing Analyst participates in the assessment of value generated by Prime's programs and leverages this insight to contribute to the development of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight to internal and external stakeholders.
Responsibilities
- Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of varying complexity within the pharmacy economic supply chain; utilize analytics to explore data, identify trends, and draw profitability, margin, and costs insights from multi-faceted and high dimensional financial pricing data
- Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet client/pharmacy contractual obligations using analytic tools and complex financial pricing methodologies
- Apply mathematical, statistical, and economic techniques to identify key drivers of costs and profitability in the pharmacy economic supply chain as they apply to financial pricing programs, and propose and implement changes to improve accuracy of financial pricing modeling
- Act as a financial pricing subject matter expert by educating internal/external financial pricing stakeholders on financial pricing programs and interpretation of financial pricing data and reporting
- Create, recommend, implement pharmacy financial pricing targets for use by Providers Relations teams and/or pharmacy/client guarantee management processes
- 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
- 5 years of work experience in pricing or financial analysis to include 3 years 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
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Demonstrated ability to problem solve and interpret complex data
- Ability to establish rapport and effectively influence at all levels within an organization
- Excellent communication and cross functional collaboration skills
- Ability to present complex data to a wide variety of audiences at all levels within and organization
Preferred Qualifications
- Experience in Big Data and Data Analytics
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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
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.
