Pharmacy Underwriting Analyst

Remote Full-time
Job Description: • Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability. • Analyze pharmacy claims data and develop reports for operations, sales and other key business units. • Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations • Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement. • Complete formulary and network disruptions to aid in the onboarding process of new clients • Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model. • Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects • Active participation and/or ownership in both quarterly and annual business unit priorities • Other duties as assigned Requirements: • Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred • 1-3 years as a functional Data Analyst to include: Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience. • Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case • System architecture and enterprise solution understanding. • Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools • Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes. • Ability to think strategically and proactively • Time management and prioritization skills. • Incredible work ethic and energy. Benefits: • Competitive salary and bonuses that reward your performance. • Comprehensive health, dental, and vision insurance + additional benefits • 401(k) with company match to secure your future. • Generous paid time off and holidays. • Opportunities for professional growth and development. • A vibrant and collaborative work culture.
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