Pharmacy Financial Performance Analyst
3 weeks ago
Pharmacy Financial Performance Analyst
The Senior Analysts will support our Account Management (AM) team in providing exemplary client service to achieve the goal of customer retention. This will include anything from monitoring the performance of our contracts to deep diving in the claims. The PFPA team provides recommendations for clients, demonstrates RXB savings for new groups, and creates custom models among other ad-hoc projects. The Analyst will also occasionally have a customer facing role, and actively participate in strategic targeted client meetings when necessary.
The Analyst may work remotely or in our Birmingham, AL headquarters.
Job Responsibilities Include:
- Perform Account Management (AM) analytics/issue resolution
- Recommendations for Plans, Custom Ad/Hoc Analytics, Custom Plan Design Analytics, Disruptions/Analytics for groups switching PBM/Formulary/Pricing/Maintenance Programs/etc.
- Data Translator and overall assistance for financial performance reports o Effective Rate Report, Reverse Reprice, Pricing Comparison, Rebate Projection
- Weekly split of Stop Loss Inbox with team to manage new requests/issues/ad-hoc production
- Support AM team in preparation of all client related reports associated with financial performance
- Provide interpretation of financial reports to demonstrate the performance of our client contracts
- Provide analysis for any underperformance against guarantees in effective rates / rebates / etc.
- Support AM team in development of the value proposition associated with financial guarantee performance
- Drafting broker/client ready notes
- Participation in reviews with broker/client
- Provide analysis of Proposed Savings Projections against initial savings estimates for new groups
- Dive into data to uncover potential issues / provide financial impacts
- Provide custom analytics/modeling for ad-hoc projects as needed
- Provide recommendations for plans based on available programs / current client setup
- Serve as SME for all account related contract guarantee reports, and provide training to the AM team as needed
Required Skills / Experience:
- 3+ years of PBM experience
- Strong understanding of PBM contracts
- Demonstrated ability to interface with employee benefit consultant’s and clients
- Demonstrated ability to perform a deep dive into claims data to understand contract performance, recognize issues, and deliver a concise user friendly message on findings.
- Four-year college degree from an accredited institution
- Excellent communication and relationship building skills
- Strong analytical and organization skills
- Advanced MS Excel user (pivot tables, etc.)
- SalesForce/SAS/coding experience is a plus
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