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RxBenefits

Strategic Pharmacy Analyst

RxBenefits, Houston, Texas, United States, 77246

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Overview RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL headquarters.

The enhanced Strategic Pharmacy Analyst (SPA) team will expand and deepen the relationship between the Business Development (BD) team, the SPAs, and our Employee Benefit Consultants (EBC). The SPA will be assigned to support two Business Development Executives and their assigned Employee Benefit Consultants. The SPA is responsible for all activities related to supporting the sales process once an analysis is verified to be correct and released.

Responsibilities

Operate as the central project manager for the business on new opportunity prospects, connecting Brokers, BDEs, Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product Team, SLT, and ELT in support of closing new business.

Manage the life cycle of Financial Analyses, RFPs, Comp Analyses, Patient Assistance Programs (PAP) Reports, and/or additional presentation documents for multiple BD partners and Brokers with a multitude of changing variables, reporting needs, communication styles, and marketing agreements.

Lead multiple small teams with RxBenefits BDEs and Financial Analysts to manage each new opportunity project from beginning to closed status, employing high level soft skills and a proactive mindset, ensuring the results are communicated with the highest impact externally.

Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure they meet the requirements for our comprehensive financial and clinical modeling.

In coordination with small teams, ensure the timely delivery of accurate, group specific Financial Analyses, PAP Reports, Clinical FAES, and/or additional reporting/documentation.

Be the SME on the repricing process, results, and applicability to our modeling inclusive of discount guarantees, discount schedules, channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer Copay Assistance Programs (MCAP), PAP, and clinical appropriateness in alignment with RxBenefits and PBM partner products.

Be the SME on the formulary disruption process, results, and applicability to our modeling inclusive of the incumbent designations, network disruption, RxBenefits designations, formulary exclusion impact, member impact, and formulary alternatives in connection with new prospect benefit plan designs.

Be the SME on hundreds of RxBenefits pricing schemes and their applicability based on pricing models, formulary options, retail networks, maintenance program selections, specialty networks, fees, plan tier structure, new prospect member size, marketing agreements, broker commissions, and drug utilization.

Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G classification, discount applicability, rebate/fee credit applicability, contract term penalties, discount/rebate exclusions, UM terms, MCAP products, PAP, third party specialty arrangements, and their applicability on our modeling.

Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to deliver a custom RxBenefits Financial Analysis for every new opportunity prospect.

Maintain flexibility with constantly changing RxBenefits PBM drug lists and the effects this has on formulary tier changes, specialty designations, LDD designations, UM components, clinical outcomes, and MCAP outcomes and their relation to specific financial, clinical, and member impacts for new opportunities.

Maintain the resources needed to apply pricing, commission structures, and properly branded reporting for dozens of broker partners with custom level service from RxBenefits.

Produce ad hoc reporting for BD, Brokers, and various RxBenefits team members using advanced Microsoft Excel skills (vlookups, pivot tables, etc.) to answer questions around reprice, disruption, and member impacts for new opportunities with varying degrees of urgency to close business.

Become the SME on new RxBenefits Product offerings in a detailed level to communicate the impacts on new prospect opportunities to BD teammates and Broker clients.

Help prepare BDEs for finalist presentations and work with marketing on presentations.

Become comfortable and ready to present Financial Analyses and associated GTM documents with ease and a delivery that exudes confidence around pricing, UM caveats, Clinical Products, and formulary disruption down to the single claim detail.

Own and manage the new opportunity SalesForce (SFDC) life cycle from the analyze stage through the coordinated hand-off of closed won groups including the broker account, employer account, group plan, SOLD form, required attachments, and all the fields needed to create a smooth transition for the group as a new employer client.

Employ expert use of SFDC reporting and dashboards to manage new opportunities through the sales pipeline, provide ad hoc connectivity information for BD and brokers, and ensure the new prospect opportunity URL contains all group information as the central location for multiple RxBenefits departments.

Work with the BD team to update SFDC and key activity metrics for their assigned territories.

Responsible for transitioning closed won groups into a client record for Account Management (AM) and Implementation including the initial gathering of information for the Implementation team. These responsibilities may extend further into the implementation process.

Help prepare BDEs for each finalist meeting and work with marketing on presentations when appropriate.

Key Success Measures

Business Development Team's performance against sales metrics.

Ensure the accuracy of delivered Financial Analyses.

Facilitate Financial Analysis review calls with EBC.

Manage pricing refreshes for prior opportunities.

Contribute heavily toward the addition of new business.

Work closely with RFP proposal writer to ensure the accurate and timely delivery of RFPs.

Manage EBC follow-up needs during sales process.

Production of materials for finalist meetings.

Accuracy and updating of SFDC.

Production of implementation packages for new business.

Required Skills / Experience

3+ years of experience using Excel for data analytics (vlookups, pivot tables, file merging, etc.)

2+ years of financial modeling experience.

Pharmacy industry analytics experience required.

Four-year college degree from an accredited institution.

Excellent communication and relationship building skills required.

Strong analytical and organizational skills required.

SFDC or Other CRM experience required.

Benefits

Remote first work environment

Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members

Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)

Additional buy-up options for Short- and Long-Term Disability and Life Insurance

401(k) with an employer match up to 3.5% available after 60 days

Community Service Day to give back and support what you love in your community

10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like

Reimbursements for high-speed internet, we'll send you a computer and monitors to help you do your best work

Tuition Reimbursement for accredited degree programs

Paid New Parent Leave that can be used for adoption or birth

Pet insurance to protect your furbabies

A robust mental health benefit and EAP service through Spring Health to support you when you need it most

RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, or any other consideration protected by federal, state, or local law.

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