Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Pricing Operations Senior Analyst will review guarantee performance by client on a monthly basis, prepare financial performance reporting, provide reporting and information for audit requests, and partner with Underwriting, Networks, Sales/Account Management, Audit and Legal, to review contract terms and provide recommendations for pricing strategy.
Primary Responsibilities:
- Perform monthly data pulls for assigned guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization.
- Collaborate with underwriting, finance and accounting partners to understand and improve gaps and overlaps in processes and gain further understanding of the multiple components and factors that impact a client’s financial performance.
- Perform lookback analysis to review underwriting assumptions to contract language and actual results, in an effort to provide future recommendations to senior leadership.
Requirements:
- 3+ years of experience with creating financial models and working with large data sets in a database environment.
- 3+ years of experience managing multiple projects and delivering results timely.
- 2+ years of SQL/Google Cloud Big Query.
- Must be proficient in Excel.
Preferred Qualifications:
- Knowledge of health insurance, managed care, or pharmaceutical industry preferred.
- 2+ PBM experience, preferably in drug pricing and analytics.
Education:
- Bachelor's Degree or equivalent work experience.
Benefits:
- Medical, dental, and vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
Pay Range: $46,988.00 - $102,000.00