Job Information
RxBenefits Proposal Pricing Analyst (Pharmacy Benefit Management) in Billings, Montana
This role will provide support in the delivery of competitive responses to Request for Proposals (RFP’s). This position offers a unique opportunity to collaborate with cross-functional teams, contribute to strategic decision-making, and contribute to the success of our client retention efforts.
The Analyst may work remotely or in our Birmingham, AL headquarters.
Essential Job Responsibilities Include:
Provide claims files and draft a client ready email upon request.
Complete data requests including claims summary, pricing terms, exclusions, etc.
Support client retention efforts for at-risk clients.
Collaborate with the Proposal, Deal Governance and Account Management teams.
Prepare for and attend all RFP kick-off calls as the pricing Subject Matter Expert (SME).
Clearly communicate milestones and deliverables to all interested parties.
Complete accurate RFP pricing responses within specified timelines for on-time delivery.
Apply the appropriate pricing terms for each current account; understanding the options and implications for each PBM offered including formulary, retail and specialty networks, maintenance and Clinical program selections, fees, plan tier structure, member size, drug utilization, and government regulations.
Provide formulary and network disruption reports.
Complete all repricing analyses inclusive of financial guarantees, specialty designations, rebate eligibility, and utilization trends.
Serve as the primary point-person for pricing and communicate technical subjects clearly and concisely.
Assist in enhancing and maintaining standard proposal responses, trackers, templates and libraries.
Maintain flexibility with changing PBM drug lists and the effects this has on guarantees, formulary tier changes, specialty designations, and LDD designations.
Understand relevant market, industry, and competitive information.
Maintain the highest standard of quality for all company materials.
Required Skills / Experience:
5 years’ PBM or Health industry experience required.
3 years’ experience in PBM analytics or pricing required.
Process oriented with the ability to maintain project timelines and stakeholder engagement.
Strong analytical, communication and organization skills.
Advanced MS Excel user (pivot tables, etc.).
Four-year college degree from an accredited institution.
Preferred Skills/Experience:
SalesForce or SAS software experience preferred.
Experience in underwriting preferred.
Based on relevant market data and other factors, the anticipated hiring range for this role is $67 ,200 to $84 ,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.
We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.
RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:
Remote first work environment
Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
Additional buy-up options for Short- and Long-Term Disability and Life Insurance
401(k) with an employer match up to 3.5% available after 60 days
Community Service Day to give back and support what you love in your community
10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
Tuition Reimbursement for accredited degree programs
Paid New Parent Leave that can be used for adoption or birth
Pet insurance to protect your furbabies
A robust mental health benefit and EAP service through Spring Health to support you when you need it most
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.