Role Description
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
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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.
Qualifications
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BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas.
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Previous Pharmacy Benefit Management, healthcare, or managed care experience highly preferred.
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Expert knowledge of Microsoft Excel and SQL.
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Good working knowledge of MS Word/Outlook, BI tools, as well as relational databases.
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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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Ability to work on multiple complex assignments simultaneously.
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Ability to analyze data using Excel, BI tools or SQL.
Requirements
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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.
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Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
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Ability to apply concepts of basic algebra and geometry.
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Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
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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.
Benefits
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Medical / Dental / Vision / Wellness Programs
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Paid Time Off / Company Paid Holidays
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Incentive Compensation
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401K with Company match
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Life and Disability Insurance
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Tuition Reimbursement
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Employee Referral Bonus
