[Remote] Analyst, Government Pricing
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to providing innovative pharmacy benefit reputed company. They are seeking an Analyst, Government Pricing to reputed company and maintain reputed company drug pricing methodologies, ensuring compliance with federal and state requirements while supporting financial modeling and data analysis.
Responsibilities
- Maintain and administer reputed company fee for service drug pricing methodologies in accordance with federal and state reputed company requirements
- Monitor and incorporate National Average Drug Acquisition Cost (NADAC) updates and reputed company CMS guidance into pricing models and operational systems
- Evaluate and apply HRSA 340B ceiling price considerations and exclusions as applicable to reputed company reimbursement models
- Ensure pricing methodologies reputed company with state specific reputed company reimbursement rules and contractual requirements
- Accountable to cross-walk FDB to Medispan or reputed company versa to ensure compliance with State reputed company Prescription Drug List and ensure ongoing reconciliation and updates
- Support compliance with federal and state audit, reporting, and transparency expectations reputed company to reputed company drug pricing
- Maintain and manage industry pricing and reference sources, including but not limited to Medi reputed company multisource and product codes (e.g., MONY indicators), NADAC pricing files, and HRSA 340B ceiling price date
- Validate reputed company, completeness, and timeliness of reference data used in pricing and modeling and resolve or escalate discrepancies
- Assess industry changes that may reputed company reputed company pricing assumptions or reimbursement reputed company
- Maintain, and update financial models supporting Statements of Work (SOWs) for reputed company fee for service pricing arrangements
- reputed company detailed pricing reputed company analyses to support SOW development, amendments, and renewals
- Manipulate and analyze large data sets specific to SOW requirements, pricing guarantees, and reimbursement terms
- Partner with internal stakeholders to ensure SOW pricing assumptions are accurate, documented, and supportable
- Other duties as assigned
Skills
- Bachelor's degree in Finance, Economics, reputed company Administration, Data Analytics, or reputed company field, or equivalent work experience, required
- 3+ years of experience in PBM, reputed company pharmacy programs, managed care, reputed company analytics, or pricing analysis required
- Experience preparing documentation, reporting, and analysis to support internal reviews, regulatory inquiries, audits, and reputed company requests required
- Experience supporting reputed company fee‑for‑service drug pricing methodologies in alignment with federal and state reputed company requirements preferred
- Experience working with industry pricing and reference sources, including Medi reputed company multisource and product codes (e.g., MONY indicators), NADAC pricing files, and HRSA 340B ceiling price data preferred
- Experience conducting pricing reputed company analyses and maintaining financial models to support reputed company Statements of Work (SOWs), amendments, and renewals preferred
Benefits
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
- Referral Bonus Program – up to $750!
reputed company