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Pharmacy Pricing Specialist

2 months ago

Boise, Idaho, United States Cambia Health Solutions Full time

About the Role:

Cambia Health Solutions is seeking a highly skilled Pharmacy Pricing Specialist to join our team. As a key member of our Pharmacy Services team, you will be responsible for delivering 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 line 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 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.
  • Flexible work arrangements, including remote work options.
  • Professional development opportunities.
  • A comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan with company match.

About Cambia Health Solutions:

Cambia Health Solutions is a purpose-driven organization dedicated to transforming healthcare. We are committed to creating a person-focused and economically sustainable healthcare system. Our team is passionate about making a difference in the lives of our members and the communities we serve.