Director Pharmacy Benefits, Underwriting and Client Analytics Loc:Montvale, NJ
100,000 - 200,000
Job Description:
MANAGERs Comments::::
This position is with a pediatric hospital so pediatric experience as a pharmacist is a requirement. This is a working director so they will be assisting in the daily staffing responsibilities as well as management of the pharmacy operations
Job description
Primary Responsibilities:
· Manage pricing related activities for prospective and existing clients including development of pricing strategies, RFP responses, model development, guarantee reporting.
· Ensure all clients are set up according to agreed upon terms and conditions.
· Manage key aspects of contracting process to ensure that contractual terms match agreed upon proposal
· Author new contract language for new pricing strategies and guarantees
· Design, develop and implement reporting and analytical infrastructure to meet ever changing market demands
· Support account management with monthly, quarterly and annual client reporting
· Continuously review client performance to mitigate risk and maximize profitability
· Ad hoc and risk management analysis including design and development of physical models
· Develop models and solutions that will help build strategic dialogue with clients and prospects
· Collaborate with internal customers to develop analytic models, methodologies, and reports to meet client and advisor needs
· Conduct and interpret quantitative and qualitative analyses to provide insight into existing program performance and product utilization; communicate program savings and ROI
- Analyze measures such as PMPM, utilization, and average cost to communicate expansion opportunity
· Work collaboratively across all other EmpiRx departments to effectively communicate and meet the organizationâ??s analytic needs
- Identify areas of analytical focus for EmpiRxâ??s service delivery/performance and evaluation of potential areas of opportunity and risk
· Translate finance processes into step by step configuration tasks with SOPS
· Ability to communicate analytic findings and conclusions in an easy to understand way to solve problems or support strategic planning
· Appropriately prioritize competing requests to ensure focus on highest impact activities; leverage team resources to complete tasks
Desired Skills and Experience:
· 8-10 yrs. related PBM or Healthcare experience
· At least 3 years of managerial experience leading a team of analysts or similar staff
· Bachelorâ??s Degree, preferably in Business, Economics, Statistics, Actuarial Science, or Finance
· Proficient in Microsoft Office suite; Salesforce Sales Cloud CRM tool, a plus
· Knowledge and proficiency in use of Tableau or similar reporting tool, a plus
· Ability to work in a fast-paced industry at a start-up with duties that will vary day to day
· Proven ability to manage multiple clients and a team of analysts
· Excellent written and oral skills, both in presentation and development of materials; ability to present and influence credibly at all levels in an organization
· Proactively stay current with pharmacy and industry trends initiatives