Pharmacy Benefits Manager (PBM) Pricing Strategies Analyst

Elevance Health; Walnut Creek (CA); Hybrid; USD 62,000 - 107,000; Full time

Job summary

A healthcare organization is seeking a Pharmacy Benefits Manager (PBM) Pricing Strategies Analyst in Walnut Creek, CA. The role involves pharmacy underwriting and requires experience in PBM and data analysis. Candidates should have a BA/BS in Finance or related field and strong analytical skills. The position supports a hybrid work model with 1-2 days in-office, fostering collaboration while providing flexibility for work-life balance.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401(k) contribution

Qualifications

• Minimum of 1 year of experience with Pharmacy Benefits Manager (PBM) or related field.
• Strong analytical skills with proven experience in data analysis.
• Ability to work cross-functionally and build relationships across departments.

Responsibilities

• Implement new processes and improvements related to guarantee monitoring and ASO pass back activities.
• Create metrics and support performance measures for revenue maximization.
• Monitor revenue performing below thresholds and implement necessary tasks.
• Support the Pharmacy Services team in implementing future revenue and expansion.

Skills

Data analysis

Attention to detail

Verbal communication

Written communication

Cross-functional collaboration

Education

BA/BS in Finance or related field

Tools

MS Excel

Job description

Anticipated End Date:

2025-11-20

Position Title:

Pharmacy Benefits Manager (PBM) Pricing Strategies Analyst

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. 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.

Job Description:

The PBM Pricing Strategies Analyst is responsible for pharmacy underwriting for our Administrative Services Only (ASO) support functions.

How You Will Make an Impact:

• Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities.
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization.
• Creates tools and processes to monitor margin revenue 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.

Minimum Requirements:

Requires a BA/BS in Finance or related field and a minimum of 1 year of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

Preferred Capabilities, Skills and Experiences:

• Experience working with pharmacy benefit management highly preferred.
• Proficient using MS Excel is preferred.
• Strong attention to detail highly preferred.
• Excellent verbal and written communication skills to convey insights and updates, along with the capability to work cross‑functionally and build strong relationships across departments preferred.

Salary and Compensation:

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $62,160 to $106,560.

Locations: California, Colorado, Illinois, Minnesota, Nevada, New Jersey, New York.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) 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.

Job Level:

Non‑Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

AFA > Financial Operations

Vaccination Requirement:

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.

Equal Employment Opportunity

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] for 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.