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Pharmacy Pricing and Market Solutions Expert

2 months ago

Boise, Idaho, United States Cambia Health Solutions Full time
About the Role

We are seeking a highly skilled Pharmacy Pricing and Market Solutions Advisor to join our team at Cambia Health Solutions. As a key member of our Pharmacy Services team, you will play a critical role in delivering on critical Plan initiatives focused on customer growth, retention, and revenue.

Key Responsibilities
  • Conduct market research to inform corporate pharmacy pricing strategies and market solutions across lines of business.
  • Lead quantitative and qualitative analysis, with a high level of attention to detail.
  • Work with cross-functional team members and business partners to develop pharmacy pricing standards, assumptions, and strategies.
  • Deliver compelling business cases to drive concepts through ideation to approval to execution.
  • Act as a trusted advisor to Sales and other stakeholders to inform and devise individual customer retention strategies and renewal quotes.
  • Participate in calls with producers and employer groups to explain pricing.
  • Provide ad hoc training on pharmacy pricing concepts.
Requirements
  • Bachelor's degree in Finance or related field.
  • 8+ years of experience with a Pharmacy Benefits Manager (PBM), underwriting, financial, reporting, pricing, rebates, and business data analysis.
  • Equivalent combination of education and experience.
Preferred Qualifications
  • Demonstrated detailed knowledge of PBM pricing and concepts.
  • Excellent business analysis, problem-solving, and analytical skills.
  • Proficiency and understanding of health plan and PBM underwriting processes and healthcare products.
  • Actuarial experience is also a plus.
  • Strong oral, written, and interpersonal communications skills, as well as proficiency in presentation development and delivery.
  • Demonstrated high level of attention to detail and quality.
  • Demonstrated high level of proficiency in Microsoft Office (Word, Excel, PowerPoint, Tableau, SQL, Power BI).
What We Offer
  • Competitive salary and benefits package.
  • Opportunity to work with a purpose-driven, award-winning culture built on trust and innovation.
  • Chance to grow your career with a company committed to helping you succeed.
  • Generous paid time off and company-paid holidays.
  • Market-leading retirement plan, including a company match on employee 401(k) contributions.
  • Up to 12 weeks of paid parental time off.
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commuter and parking benefits.