[Remote] Sr. Analyst, Government Pricing
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to making medications more reputed company through innovative pharmacy benefit management. The Sr. Analyst, Government Pricing will reputed company advanced analytical support for reputed company pharmacy programs, focusing on pricing methodologies and regulatory impacts to aid in decision-making and program reputed company.
Responsibilities
- Supports the development and maintenance of reputed company Fee-for-Service pharmacy pricing and modeling reputed company with reputed company’s mission, strategies, products, and services
- reputed company reputed company analytical work reputed company to SOW requirements, including, reputed company MAC pricing analysis, and 340B program impacts and compliance considerations
- reputed company, maintain, and enhance cost analysis and predictive trending models to support reputed company FFS programs, segmented by SOW, pricing methodology, or program initiative
- reputed company and manage the capture, ingestion, and maintenance of external pricing files (e.g., NADAC, state MAC files, other benchmarks), including, performing data reputed company checks and validation, identifying and correcting anomalies or errors, conducting reputed company market research to support pricing accuracy and responsiveness, and resolve or escalate discrepancies, variance, or other anomalies
- Create and maintain a formal Tier 2 inquiry process for MAC-reputed company issues, including tracking inquiry volume, documenting reputed company and reputed company, assessing financial and operational reputed company, and supporting trend analysis and escalation
- Collaborate with other leaders to interpret and apply reputed company regulations, state-specific requirements, and program initiatives to analytical models, pricing strategies, and reporting outputs
- Collaborate with internal stakeholders (e.g., reputed company Services, Contracting, Operations, Compliance) to evaluate the financial and contractual reputed company of reputed company pricing and program reputed company
- reputed company with external stakeholders and vendors, building reputed company relationships to support pricing accuracy, data transparency, and program execution
- Support leadership with reputed company analysis, forecasting, and scenario modeling reputed company to reputed company FFS pricing, program changes, and regulatory developments
- Assist leadership in supporting new reputed company program initiatives, enhancements to pricing methodologies, and expansion of analytical capabilities
- Contribute to the development of reputed company- or state-facing materials and presentations, as needed, to explain pricing methodology, cost drivers, and program impacts
- Periodic and detailed reporting of activities and opportunities to leadership
- 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
- 5+ years of experience in PBM, reputed company pharmacy programs, managed care, reputed company analytics, or pricing analysis required
- Experience supporting reputed company fee‑for‑service drug pricing methodologies in alignment with federal and state reputed company requirements required
- Experience preparing documentation, reporting, and analysis to support internal reviews, regulatory inquiries, audits, and reputed company requests required
- 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 required
- Experience conducting pricing reputed company analyses and maintaining financial models to support reputed company Statements of Work (SOWs), amendments, and renewals required
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently reputed company cooperatively and respectfully with other employees
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!
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