United States of America (Exempt)
$83,426 - $114,712 - $145,997
“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Summary
As a Pricing and Business Analyst supporting Sav-Rx, you will be responsible for driving business growth through RFP re-pricing and financial modeling for prospective and existing clients. You translate complex prescription claims into actionable insights, identify cost-saving opportunities through trend analysis, and perform various ad-hoc analysis critical to the success of the company. Your role is essential in proving the fiscal value of the Sav-Rx PBM model to employers, unions, and other commercial clients.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
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Re-price prospective client claims data against Sav-Rx’s pricing engines to demonstrate potential savings.
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Create, maintain, and automate regular reports on key performance indicators (KPIs) such as drug spend, adherence rates, formulary compliance, and rebate performance. Utilize tools like Tableau, Power BI, or Excel to present data in clear, visually compelling formats for internal stakeholders and clients.
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Collaborate with sales and account teams to prepare data-driven responses for RFPs. Gather and analyze competitive intelligence, benchmark data, and client-specific metrics to support proposal development and ensure proposals are accurate, competitive, and compliant.
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Respond to requests for custom analyses, including trend identification, scenario modeling, and impact assessments. Examples may include evaluating the effects of drug pricing changes, regulatory updates, or market shifts on client portfolios.
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Extract, clean, and validate large datasets from internal systems (e.g., claims databases, CRM tools) and external sources. Ensure data integrity, compliance with HIPAA and other regulations, and alignment with PBM best practices.
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Work closely with sales, account management, finance, clinical, and operations teams to identify opportunities for process improvements and data-driven decision-making.
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Stay updated on PBM industry trends, tools, and methodologies to enhance analytical capabilities and contribute to team knowledge sharing.
Supervisory Responsibilities
No supervisory responsibilities
Client Responsibilities
This is an internal facing position.There may be instances where external client communication is required.In such instances, excellent customer service skills and interpersonal communication skills (listening/verbal/written) are necessary. One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas
Previous Pharmacy Benefit Management, healthcare, or managed care experience highly preferred.
Computer Skills
To perform this job successfully, an individual should have expert knowledge of Microsoft Excel and SQL. Good working knowledge of MS Word/Outlook, BI tools, as well as relational databases.
Certificates, Licenses, Registrations
None required.
Other Skills and Abilities
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Must be highly analytical, strategic, and detail-oriented
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Strong communication and decision making skills
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Work on multiple complex assignments simultaneously
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Ability to work in a team environment
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Ability to analyze data using Excel, BI tools or SQL
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Underwriting RFPs
Reasoning Ability
- Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
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Ability to define problems, collect data, establish facts, and draw valid conclusions.
Mathematical Skills
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
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Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
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Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Competencies To perform the job successfully, an individual should demonstrate the following competencies:
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. Visual acuity to 20 inches. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).
Work Location
This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.
Travel
This position requires no travel however attendance may be required at various local conferences and meetings.
Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
