The Network Pricing Analyst participates and assesses network pricing strategy as well as the execution, implementation, and optimization of current, new, and future network / pricing innovation. Assists in creation and maintenance of complex financial modeling and process development to establish business insight, quality assurance, and execution to achieve departmental goals. In partnership with team leaders and members, supports the development of reimbursement strategy, execution of network pricing, and perform pharmacy analytics reporting and modeling that fall under the Maximum Allowable Cost (MAC) Management umbrella. Develops capabilities specifically targeted to achieve the efficient and effective application of the company’s products and services toward the achievement of total cost savings and improved health outcomes for the company’s clients and their members.

• 1-2 yrs Pharmacy/Healthcare OR Analytics experience
• Financial Modeling & Reporting
• Data Management
• Proficient user or understanding of query languages and/or Business Intelligence platforms that assist in day to day automation and procedures. Examples may include Microsoft Suite, SQL, SAS, Tableau, Power BI, Qlik, Alteryx
• Mathematical, statistical, computer science, or economic acumen to assist in overall financial brand and generic pricing management
• Problem solving ability in unstructured situations. Ability to effectively participate in meetings, accomplish goals and meet timelines. Ability to work well in cross-functional situations, giving clear direction and partnering with other internal departments to reach common goals.
• Ability to self-motivate and self-manage daily tasks as this role will be offering remote work.
• Ability to think creatively and challenge the status quo with particular emphasis on developing processes that are both accurate and efficient.

Position Location

This is a remote-based position where you may work from your home office.

Our Company

Did you know that nearly 90% of the US population lives within 5 miles of a pharmacy and they see their pharmacist on average 12 times a year? Pharmacy is at the heart of healthcare, and having a positive patient experience is critical to ensuring our patients stay on their therapies. Join our team and have a direct impact on patients’ lives, while improving your own wellbeing with robust benefits and flexible work environment.

You enjoy a growing career with limitless possibilities, meaningful work and the charge to make a difference. We offer the stability of a Fortune 500 company with the energy and innovation of a startup, while providing services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.

• Assist in development of business, industry, competitive, client, and technical knowledge to formulate pricing strategy, and to execute financial modeling of comprehensive pricing strategies
• Desire to be creative and solve complex data analytical problems that assist in business processes
• Ability to read/write queries and establish workflows in order to offer and implement continued automation and improvement
• Provide assistance / coordinate with all Network Management team members in weekly process tasks. Included but not limited to;
  • Pharmacy pricing appeals - Includes receiving and sending communications from pharmacies and compiling specific data for automated processes to utilize
  • Run weekly automated pricing tasks to ensure pricing process accuracy and implementation
  • Gather input data for weekly process from pricing resources, governmental resources and medical/pharmaceutical data
  • Creating procedural documentation to cover all automation and analytical tasks for audit/compliance needs
  • Review and interpret State Legislation, Pharmacy contracts and Client contracts for ongoing management throughout processes
• Execute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offerings
• Ability to create as needed reporting procedures to assist in team’s automation needs
• Assist in ongoing MAC management pricing process
• Effective communication in providing clear and concise responses to Network Pricing / MAC related RFP inquiries
• Utilize and maintain domain expertise across levers of PBM financials, including retail networks, dispensing, specialty drugs, pharmaceutical manufacturer rebates, MAC pricing, and our product offerings
• Proven ability to collaborate effectively with a cross-functional team to align and coordinate internal resources. In addition, coach, lead, mentor and assist with staff career development
• Proactive identification and closure of network gaps as well as development of performance reports
• Desire to excel in data analytics, pricing, process automation, pricing and healthcare financials

Education:

• Bachelor’s Degree in math, finance or computer science

Experience:

• 1-2 Years Experience in Pharmacy/Healthcare and/or Analytics preferred
• Financial Modeling & Reporting
• Data Management

Knowledge, Skills, and Abilities:

Candidate must possess the following:

• Strong analytical, detail oriented and problem solving skills. Ability to organize and manage multiple priority tasks simultaneously.
• Problem solving ability in unstructured situations. Ability to effectively participate in meetings, accomplish goals and meet timelines. Ability to work well in cross-functional situations, giving clear direction and partnering with other internal departments to reach common goals.
• Ability to self-motivate and self-manage daily tasks as this role will be offering remote work.
• Ability to think creativity and challenge the status quo with particular emphasis on developing processes that are both accurate and efficient.
• Mathematical, statistical, computer science, or economic acumen to assist in overall financial brand and generic pricing management
• Proficient user and/or understanding of query languages and/or Business Intelligence platforms that assist in day to day automation and procedures. Examples may include Microsoft Suite, SQL, SAS, Tableau, Power BI, Qlik, Alteryx

WE OFFER

A diverse, progressive culture that supports a flexible work model and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:

• Competitive compensation package
• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan
• And more!

Apply today by sharing your resume at: https://www.maxor.com/careers/

Maxor is an EOE, including disability/vets