- Bachelor's degree in Finance or a 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
- 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
- Strong oral, written, and interpersonal communication skills including 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)
- Conduct market research to influence corporate pharmacy pricing strategies and market solutions
- Lead quantitative and qualitative analysis with meticulous attention to detail
- Collaborate with cross-functional team members to develop pharmacy pricing standards and strategies
- Create compelling business cases to drive concepts from ideation to execution
- Act as a trusted advisor to inform individual customer retention strategies and renewal quotes
- Participate in calls with producers and employer groups as needed to explain pricing
- Provide ad hoc training on pharmacy pricing concepts
- Work with diverse teams to innovate health care solutions
- Enjoy competitive compensation and generous benefits that make a difference in people's lives
- Advance your career with a company dedicated to your success
- Engage in community outreach programs supported by Cambia
- Connect with colleagues through employee resource groups
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Pharmacy Pricing - Boise, United States - Cambia Health Solutions
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Description
Pharmacy Pricing & Market Solutions Advisor
Work with purpose from the comfort of your home within Oregon, Washington, Idaho, or Utah
Join us to be part of a team that strives to create a people-focused and economically sustainable healthcare system
Meet Our Ideal Candidate:
Every day, the committed team of Pharmacy Pricing & Market Solutions Advisors at Cambia work passionately to simplify healthcare and enhance lives. As a vital member of the Pharmacy Services team, you will be accountable for driving essential Plan initiatives that concentrate on customer growth, retention, and revenue. Your role involves optimizing pricing strategies, gaining a profound understanding of end-to-end assumptions, and enhancing data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM) - all aimed at establishing an economically sustainable healthcare system.
If you are a data-driven problem solver with a strong interest in healthcare and pharmacy, coupled with in-depth knowledge of end-to-end assumptions and data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM), then this position could be the perfect match.
Your Contributions to Cambia:
Qualifications:
Skills and Attributes:
Your Responsibilities at Cambia:
About Cambia
Being part of Cambia means entering a purpose-driven, award-winning environment founded on trust and innovation with a rich 100+ year history. Our compassionate and supportive colleagues are among the finest in the industry, collaborating towards sustainable, people-focused healthcare. Whether assisting members, supporting colleagues, or engaging in community volunteering, our empathy and team spirit always shine.
Why Join the Cambia Team?
At Cambia, you can:
We believe a career at Cambia offers more than just a salary - and your rewards should reflect that. Our compensation package includes competitive pay, a leading 401(k) plan with a significant company match, bonus opportunities, and more.
To support members' healthy lives, we extend benefits that empower you to do the same, including medical, dental, and vision coverage; wellness programs; paid time off; retirement plans; and more.
We embrace work-from-home flexibility for most roles, requiring a stable wired internet connection with specific speed requirements.
We are committed to diversity and maintain a drug and tobacco-free workplace. Equal opportunity employment is our priority - all applicants are considered on merit.
If you require accommodation during the application process due to a medical condition or disability, reach out to us directly. More details on information handling by Cambia Health Solutions are available on our website.