WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

　　Pharmacy Benefits Manager Pricing Strategy Analyst, Senior

　　Job Family: Finance and Actuarial

　　Type: Full time

　　Date Posted:Feb 13, 2024

　　Anticipated End Date:Mar 13, 2024

　　Reference: JR99722

　　Location:

　　CA, WOODLAND HILLS

　　Georgia, Midland

　　Colorado, Denver

　　Washington, Seattle

　　Minnesota, Mendota Heights

　　Louisiana, Metairie

　　Minnesota, Gilbert

　　New York, New York City

　　New York, Middletown

　　Ohio, Seven Hills

　　New Jersey, Iselin

　　Ohio, Mason

　　New York, Latham

　　California, Walnut Creek

　　Georgia, Atlanta

　　Kentucky, Louisville

　　Ohio, Columbus

　　Tennessee, Nashville

　　Ohio, Cincinnati

　　South Carolina, Charleston

　　Indiana, Indianapolis

　　Rhode Island, Smithfield

　　Florida, Tampa

　　Massachusetts, Woburn

　　North Carolina, Winston

　　New Hampshire, Manchester

　　District of Columbia, Washington

　　California, Costa Mesa

　　District of Columbia

　　Delaware, Wilmington

　　North Carolina, Raleigh

　　Iowa, West Des Moines

　　Nevada, Las Vegas

　　Connecticut, Wallingford

　　Virginia, Roanoke

　　Virginia, Richmond

　　Texas, Houston

　　Texas, Grand Prairie

　　Illinois, Chicago

　　Wisconsin, Waukesha

　　Missouri, St. Louis

　　Maryland, Hanover

　　Missouri, St Louis

　　California, Palo Alto

　　Florida, Miami

　　Virginia, Norfolk

　　Maine, South Portland

　　New Jersey, Morristown

　　Description

　　Pharmacy Benefits Manager Pricing Strategy Analyst, Senior

　　Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

　　The PBM Pricing Strategy Analyst, Senior is responsible for Administrative Services Only (ASO) support functions.

　　How You Will Make an Impact:

　　Primary duties may include, but are not limited to:

　　Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities.

　　Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization.

　　Creates tools and processes to monitor margin revenue 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.

　　Department-Specific Responsibilities:

　　Utilizes financial and actuarial modeling based on client and industry data to underwrite comprehensive pricing offers for PBM client contracts including:

　　Underwriting pricing guarantees and pharmaceutical manufacturer rebates across pharmacy distribution channels (e.g., Retail)

　　Underwriting Requests for Proposals (RFPs) requirements such as fees, credits, and performance guarantees

　　Creating supporting financials such as profit and loss statements for internal reporting and measurement

　　Reviews and completes financial sections of RFPs, market checks, and renewals to define the scope of PBM client support and forecast accurate cost assumptions into pricing offers.

　　Reviews and provides approval for financial and pricing sections of legal agreements and negotiates preferred terms with client consulting firms and/or clients prior to contract execution

　　Collaborates across the organization to provide recommendations on pricing and negotiation strategies to achieve revenue and profitability targets for new and renewal business.

　　Minimum Requirements:

　　Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

　　Preferred Skills, Capabilities and Experiences:

　　Strong Microsoft Excel modeling experience and comfort with writing formulas highly preferred.

　　Experience with coding such as VBA, SQL, and/or other (e.g., SAS).

　　MBA or other advanced degree.

　　For candidates working in person or remotely in the below locations, the salary* range for this specific position is $68,780.00 to $130,320.00

　　Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

　　In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

　　The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

　　Who We Are

　　Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

　　How We Work

　　At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

　　We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

　　Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

　　The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

　　Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

　　EEO is the Law

　　Equal Opportunity Employer / Disability / Veteran

　　Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

　　EEO Policy Statement

　　Know Your Rights

　　Pay Transparency

　　Privacy Notice for California Residents

　　Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

　　Need Assistance?

　　Email us ([email protected])