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
Requirements
- 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
- Previous experience using SQL, SAS, Alteryx, R, Python or related technologies
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
Nice to Have
- Experience in Big Data and Data Analytics
Compensation
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.
Additional Information
- 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
- 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.
