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Pharmacy Pricing Specialist
2 months ago
Pharmacy Pricing & Market Solutions Advisor
Remote Opportunity Available
About Cambia Health Solutions:
Cambia Health Solutions is dedicated to fostering a healthcare system that prioritizes individuals and sustainability. We are seeking a skilled professional to contribute to our mission.
Ideal Candidate Profile:
Our team of Pharmacy Pricing & Market Solutions Advisors plays a vital role in enhancing healthcare experiences. This position is pivotal in executing essential initiatives that drive customer growth, retention, and revenue. Responsibilities include refining pricing strategies, understanding comprehensive assumptions, and enhancing data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM).
Key Qualifications:
- Bachelor's degree in Finance or a related discipline.
- Over 8 years of experience in Pharmacy Benefits Management (PBM), underwriting, financial analysis, pricing, rebates, and business data evaluation.
- A combination of education and experience may be considered.
Essential Skills:
- In-depth knowledge of PBM pricing mechanisms and principles.
- Strong analytical, problem-solving, and business analysis capabilities.
- Understanding of health plan and PBM underwriting processes and healthcare products; actuarial experience is advantageous.
- Excellent communication skills, both verbal and written, along with proficiency in presentation creation and delivery.
- High attention to detail and quality assurance.
- Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Tableau, SQL, Power BI).
Responsibilities:
- Conduct market analysis to guide corporate pharmacy pricing strategies and market solutions across various business lines.
- Lead both quantitative and qualitative analyses with meticulous attention to detail.
- Collaborate with cross-functional teams and business partners to establish pharmacy pricing standards and strategies.
- Develop persuasive business cases to facilitate concepts from ideation to execution.
- Serve as a trusted advisor to Sales and other stakeholders, formulating customer retention strategies and renewal proposals.
- Participate in discussions with producers and employer groups to clarify pricing structures as necessary.
- Provide on-demand training on pharmacy pricing principles.
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