PBM Pricing Strategy Analyst Manager

Elevance Health; Wallingford (CT); Hybrid; USD 103,000 - 177,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) + match

Equity stock purchase program

Incentive and recognition programs

Job summary

Elevance Health is seeking a PBM Pricing Strategy Analyst Manager to lead pricing and ASO support for Pharmacy Services. In-office 1-2 days per week with flexibility to balance collaboration and autonomy.

You will implement pricing processes, monitor margins, and support underwriters with pricing and guidelines. Requires BA/BS in Finance and 5+ years in PBM pricing & data analysis; MBA preferred. This role offers comprehensive benefits and a strong focus on career development.

Qualifications

• BA/BS in Finance or related field required.
• Minimum 5 years of experience with PBM pricing, pricing, or data analysis.
• MBA preferred.
• Strong communication skills and ability to work cross-functionally.
• Experience with contract management tools is a plus.

Responsibilities

• Implements new processes and best practices for pricing, guarantee monitoring, and ASO pass back.
• Creates metrics and supports performance objectives for revenue maximization and pricing.
• Develops tools to monitor margin, pricing accuracy, and client retention.
• Monitors revenue against targets and drives improvements.
• Implements pricing in systems related to margin.
• Supports Pharmacy Services in revenue growth and underwriting updates.

Skills

Pricing analysis

PBM pricing

Data analysis

Excel

Leadership

Contract management tools

Education

BA/BS in Finance or related field

MBA (preferred)

Tools

Contract management tool (Contraxx)

Excel

PBM software

Job description

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PBM Pricing Strategy Analyst Manager will be responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions.

How you will make an impact:

• Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities.
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing.
• Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention.
• Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.
• Implements pricing in the system related to margin.
• Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.
• Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MBA strongly preferred.
• Intermediate Excel experience and analytical skills strongly preferred.
• Pharmacy underwriting/PBM experience strongly preferred.
• Medical underwriting experience preferred.
• Excellent verbal and written communication skills preferred.
• Contraxx or similar contract management tool experience preferred.
• Prior leadership, coaching, and/or mentoring experience preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $102,640 to $177,054.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [e-mail] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act