Pharmacy Benefits Manager Pricing Strategy Analyst Manager at Elevance Health

Mason, Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy BenefitsIndustries

Requirements

BA/BS in Finance or related field
Minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience providing an equivalent background

Responsibilities

Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities
Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing
Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention
Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets
Implements pricing in the system related to margin
Supports the Pharmacy Services team in implementing future revenue, member expansion, and growth capacity
Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines

Skills

Key technologies and capabilities for this role

Pricing StrategyPBMGuarantee MonitoringASORevenue MaximizationMetrics CreationPerformance MeasuresMargin MonitoringPricing AccuracyClient RetentionUnderwriting GuidelinesProcess Improvement

Questions & Answers

Common questions about this position

What is the salary range for this position?

For candidates working in person or virtually in Columbus, OH, the salary range is $100,400 to $150,600. The actual salary offered is based on legitimate, non-discriminatory factors.

What is the work arrangement or location policy for this role?

This role requires associates to be in-office 1-2 days per week, with flexibility for virtual work. Candidates must reside within a reasonable commuting distance from the posting location, such as Columbus, OH, unless an accommodation is granted.

What are the minimum requirements and key skills for this position?

Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis, or equivalent. Preferred skills include MBA, PBM experience, and Health Economics experience.

What benefits does Elevance Health offer?

In addition to salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution, all subject to eligibility requirements.

What makes a strong candidate for this Pharmacy Benefits Manager Pricing Strategy Analyst Manager role?

Strong candidates will have a BA/BS in Finance or related field with 5+ years of PBM, pricing, and data analysis experience. An MBA, direct PBM experience, and Health Economics background are strongly preferred.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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