- Develop data analysis models and processes to support Client Audits, MAC Management, and profit optimization.
- Implement pricing strategies to manage and maximize risk/profitability
- Develop and implement guidelines and procedures to ensure consistency and accuracy.
- Collaborate with management to develop long-term strategies to align with contractual obligations while driving value across the organization.
- Identify opportunities for innovation.
- Drive initiatives to improve profitability and competitive positioning.
- Work closely with internal stakeholders, including Finance, Operations, Supply Chain and Account Management to ensure alignment on contractual obligations and profit strategies.
- Communicate findings and recommendations to leadership and other key stakeholders.
- Leverage advanced technology and data analytics tools to enhance processes and analytical capabilities.
- Stay updated with industry trends and technological advancements to continuously improve practices.
- Bachelor's degree in a quantitative field (e.g. Statistics, Math, Economics, Data Mining/Science)
- Minimum of 5 years of experience in MAC Management, Client Audit, Client Reconciliation, or a related field within the healthcare or insurance industry
- Ability to work independently as well as in a team environment.
- Proven experience in data analysis and financial modeling.
- Excellent communication and interpersonal skills.
- Proficiency in analytical software and tools (e.g., SQL, Excel, BI tools).
- Ability to think strategically and drive results in a fast-paced environment
- Strong knowledge of pharmacy benefit management and the pharmaceutical industry
- Master's preferred or equivalent experience
- Professional credentials or qualifications
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Analytic Lead, Client Performance - Bethesda - Lucyrx
Description
Job Type
Full-time
Description
This is a remote position; however, you should expect to travel for team meetings, client meetings or other collaboration needs.
Summary
The Analytic Lead, Client Performance & MAC Management is responsible for building and supporting processes pertaining to the performance of Client contracts, Client Audit and MAC Management. This role involves supporting the implementation, and refinement of strategies that ensure compliance to contractual obligations while maintaining profitability for the organization. The position requires a deep understanding of data analysis and risk management.
Role and Responsibilities
Qualifications and Education Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operating other standard office equipment, such as printer, copier, phone. Travel may be required by either car or airplane, or a combination of multiple modes of transportation.
LucyRx is an independent, next-generation pharmacy benefit manager (PBM) redefining prescription care. Fueled by innovation and decades of leadership experience, LucyRx delivers better outcomes through its integrated specialty network, formulary marketplace, and next-day home delivery solutions. Powered by its proprietary AI platform, LucyIQ, the company provides real-time insights that support evidence-based clinical decisions, clear pricing, and exceptional service from U.S.-based pharmacy technicians. Partnering with more than 60,000 pharmacies, LucyRx serves over 1,200 clients nationwide.
We offer competitive pay and benefits, and are open to discussing compensation that reflects the value you bring to our team.
Salary Description
$95,000-$130,000
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