Principal Business Analyst - Pricing and Underwriting

Maxor National Pharmacy Services, LLC; United States; Remote; USD 80,000 - 120,000; Full time

Job summary

An established industry player is seeking a Principal Business Analyst to lead pricing strategies for PBM services. This remote position offers a unique opportunity to work cross-functionally with teams in finance, sales, and account management to develop competitive pricing models. The ideal candidate will leverage extensive analytical skills and industry knowledge to drive efficiency and accuracy in pricing processes. Join a forward-thinking company that values innovation and collaboration, providing a supportive environment for professional growth and development.

Benefits

Comprehensive health benefits

Employer-matched 401k Plan

Industry-leading PTO plan

Company-paid life insurance

Mental health resources

Flexible work-from-home model

Qualifications

• 8+ years of experience in financial analysis for PBM services.
• Expertise in pricing strategies for traditional and pass-through models.
• Strong analytical skills with the ability to manage complex data.

Responsibilities

• Oversee and implement pricing strategy for PBM opportunities.
• Drive full pricing process for RFP opportunities and client renewals.
• Research competitors and industry trends to inform pricing strategies.

Skills

Analytical Skills

Financial Analysis

SQL

Microsoft Excel

Communication Skills

Project Management

Education

Bachelor’s Degree in Accounting

Bachelor’s Degree in Finance

Bachelor’s Degree in Economics

Tools

Microsoft Excel

SQL

Job description

Overview

The Principal Business Analyst manages the compilation, analysis, and reporting of data for pricing contracts for PBM services and other pharmacy business units. Apply experiences with various PBM contract types (pass through and traditional) along with product/service mix to deliver ranges of client contract pricing options. Work cross-functionally with members of pricing team, finance, clinical and other groups along with Sales/Account Management to employ strategy around setting market pricing while meeting financial objectives. Utilize SQL, Excel, and data visualization tools to aid in performance quantitative and qualitative analysis, financial modeling, and economic forecasting.

Position Location

This is a remote-based position within the Continental US.

Our Company

Maxor is an industry leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated pharmacy care solutions.We help health systems and hospitals strengthen their role as community hubs. Our combined offerings give patients access to vital medicines, treatments, and health services while creating pharmacy value for the system. From filling prescriptions for employees in their own pharmacies to offering access to broader networks and limited distribution drugs, we provide the technology, relationships, and expertise to make it happen.

Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it’s through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions.With a legacy of exceptional service and deep clinical and pharmacy expertise, Maxor has been a trusted partner enabling pharmacy care since 1926.

Why Join Maxor?

At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients while ensuring their own well-being; finding fulfillment in meaningful work, competitive compensation, comprehensive benefits, diverse and inclusive teams, and limitless career possibilities.

With a growing workforce of 1,400+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.

Responsibilities

• Oversee and implement Maxor’s pricing strategy for Maxor’s PBM opportunities.
• Drive full pricing process for traditional and pass through PBM RFP opportunities. Gather, assess and evaluate quantitative elements of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc.
• Research and monitor competitors and industry trends.
• Streamline processes and models to drive efficiency and accuracy.
• Provide financial support for prospect contract negotiations and respond to RFP financial requests.
• Assist in presenting pricing model and strategy to senior leadership.
• Communicate range of pricing scenarios/options to internal stakeholders.
• Lead intradepartmental projects and company projects.
• Work with Sales and Leadership teams in creating pricing and product positioning strategies.
• Lead functional & organizational initiatives as required.
• Develop, maintain and distribute ad-hoc reports and financial models as needed.
• Promptly report any allegations of impropriety to the Compliance Department
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Qualifications

Education: Bachelor’s Degree in Accounting, Finance, or Economics.

Experience: Minimum of 8 years’ experience completing complex analytical, financial analysis for PBM services in both traditional and pass through PBM contract models

Knowledge, Skills, and Abilities:

• Knowledge of pricing inputs and services mix (plan design, prescription history, retail pharmacy network models, rebate assumptions, specialty, mail pharmacy, brand/generic and more) for contracted PBM services across both traditional and pass through pricing methodologies
• Experience working with many aspects of PBM Underwriting including, but not limited to, Health Systems, Commercial lines of business, Government Programs, and Coalitions
• Advanced knowledge of Microsoft Excel & Word
• Basic SQL proficiency utilizing functions, statements such as SELECT, CASE, or JOIN, and conditional operators
• Can independently manage all aspects of pricing RFPs and renewals with minimal supervision in coordinating with other teams to complete projects
• Extensive PBM industry knowledge required and the ability to be the Underwriting team’s liaison with other departments to manage interdepartmental projects
• Ability to analyze data specific to client opportunity, consider context of company strategies and offer actionable pricing recommendations
• Extensive experience reviewing, analyzing and assessing complex and unstructured data
• Ability to work on multiple tasks and prioritize deadlines
• Experience coordinating deadlines and deliverables across multiple teams to achieve operational change
• Contribute productively and work cohesively with cross-functional teams in operations, sales, account management and finance in fast paced, dynamic environment
• Excellent written and verbal communication skills, with presentation experience in front of Senior Leadership
• Strong initiative and ability to manage multiple projects, as well as, strong follow through skills
• Must be detail oriented with strong organizational skills

WE OFFER

At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.

We offer highly competitive compensation and comprehensive health benefits including:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

Apply today at https://www.maxor.com/careers/

Maxor is an EOE, including disability/vets