Contract Analytics Trade Relations, Consultant
1 week ago
Your Role
The Trade Relations team is responsible for managing the trade relations function of the company to support BSC's Pharmacy Care Reimagined initiative. The Contract Analytics Trade Relations, Consultant will report to the Senior Director of Trade Relations. In this role, you will work with drug claims data to identify opportunities to reduce costs and evaluate/execute manufacturer offers to support drug cost affordability for members and plans.
Your Work
In this role, you will:
- Develop, analyze & monitor prescription drug and medical claims data to identify opportunities to improve quality and cost of healthcare and to monitor/report performance and outcomes.
- Responsible for timely and accurate maintenance of intricate data sets used for client rebate packages, billing sheets, and any additional supporting documentation.
- Provide financial evaluation of manufacturer contract offerings and operations, including sensitivity analyses, competitive offer assessments, performance tracking, and scenario planning.
- Work with external relationships (vendors, manufacturers, clients) related to assigned work.
- Assess manufacturer contract performance and plan performance and forecast future contract strategies.
- Manage the execution and maintenance of contracts for all lines of business.
- Support and execute contract discussions that BSC supports.
- Collaborate with internal partners on contract impact, and provide timely coordination for P&T review of formularies, posting, and eventual confirmation to the drug manufacturer.
- Analyze the impact of client formulary choices with respect to rebate impact; provide rebate status information as requested.
- Collaborate with Actuary and Underwriting on rebate minimum guarantee.
Your Knowledge and Experience
- Bachelor's degree required.
- Minimum of 7 years experience in data analysis.
- Strong data analysis in pharmacy and medical claim analysis and financial reporting knowledge required.
- A knowledgeable individual with appropriate industry experience, preferable in the healthcare, insurance, or PBM industry.
- Experience building financial model, identifying trends.
- A well-organized and detail-oriented individual with excellent communication and presentation skills.
- Proficient in Microsoft Office and industry-related software programs.
Pay Range:
The pay range for this role is: $109,120.00 to $163,680.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
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