AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.
Join us in improving health care outcomes for all! We promise to do what’s right, always.
Position Summary:
The Pricing Manager will be responsible for managing pricing and underwriting processes in support of business development efforts. They will have a thorough understanding of PBM pricing intricacies, financial modeling, and data analysis. The ideal candidate will have experience in development and execution of PBM competitive bidding, guarantee setting, rebate projections, ad-hoc analysis, and narrating pricing related responses.
What you will do:
Underwriting Management:
- Develop pricing and underwriting responses to bids and RFPs, ensuring consistency, efficiency, and alignment with business objectives
- Work closely with other relevant teams to prepare and submit bid responses, as well as support follow up questions, as needed
Strategy Implementation:
- Implement pricing strategies and underwriting policies in alignment with the company’s overall business objectives
- Analyze market trends, competitor pricing and industry dynamics to formulate effective pricing and underwriting approaches
- Translate the unique offerings of AffirmedRx into common industry terms
Pricing Analysis:
- Conduct comprehensive pricing analyses to determine optimal pricing structures for pharmacy pricing model
- Monitor and evaluate the performance of existing pricing strategies and making recommendations for adjustment as needed
- Develop and/or incorporate rebate projections into overall pricing for bids and evaluate areas for future potential improvement
- Conduct precursor analyses (claims repricing, rebate forecasting, disruptions, savings projections) to be used in development of comprehensive pricing offers
Market Research:
- Stay informed about industry trends, regulatory changes, and market dynamics that may impact pricing and underwriting
- Conduct market research to understand customer behavior, competitive landscapes, and emerging opportunities and incorporate into overall and bid specific strategies
RFP Support
- Validate, edit, and draft narrative responses to financial and pricing related RFP questions
- Periodically review and update database responses to ensure consistency with evolving strategies and go to market messaging
Contract Negotiations:
- Collaborate with business development in negotiating pricing terms and conditions with clients
- Ensure contracts align with underwriting guidelines and pricing strategies
Communication:
- Participate in pre-bid, finalist, and other sales meetings as the pricing SME helping to articulate AffirmedRx’s unique pricing model and guarantee structure to the market
- Communicate pricing and underwriting strategies, decisions, and updates to internal stakeholders
- Provide insights and recommendations based on data analysis and market intelligence
What you need:
- Bachelor's degree in business, finance, or economics
- 5+ years of healthcare analytics experience including 3+ years in PBM industry
- Direct experience with PBM pricing/underwriting as part of bid submission, or financial modeling and evaluation of PBM bid submissions (e.g. consultant)
- Strong communication skills, with the ability to influence at all levels of the organization
- Ability to work collaboratively with cross-functional teams, internal and external
- Exceptional technical skills with the Microsoft Office suite
- Analytical and database programs (SQL, PowerBI, Python, etc) experience preferred
- Willingness and ability to travel (10%-20%)
What you get:
- To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes
- To work in a culture where people thrive because when OUR team thrives, OUR business thrives
- Competitive compensation, including health, dental, vision and other benefits
Note:
AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.
Skills Required
- Bachelor's degree in business, finance, or economics
- 5+ years of healthcare analytics experience
- 3+ years in PBM industry
- Direct experience with PBM pricing/underwriting
- Strong communication skills
- Ability to work collaboratively
- Exceptional technical skills with Microsoft Office
- Analytical and database programs experience
- Willingness and ability to travel (10%-20%)
What We Do
AffirmedRx, PBC, is the only Public Benefit Corporation leading the next generation of Pharmacy Benefit Management solutions for employer groups, health plans, hospital groups and other payers. We’re committed to pass through ALL pricing, discounts and rebates we have negotiated with pharma manufacturers and pharmacies to simplify and reduce prescription drug spending. Our goal is for members to have absolute access to the safest and lowest cost medications to help maintain or restore their health. The pharmacy ecosystem is complex with layers of agreements, payment models and fees. We are committed to simplifying pharmacy benefits and helping patients feel good about their benefit provider. AffirmedRx. We're All In.
