PBM Pricing Analyst
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At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary
The Pricing Analyst supports the Pricing & Underwriting organization by performing financial analysis, pharmacy claims repricing, and pricing support for new business and renewal opportunities. This role focuses on producing accurate, timely, and compliant pricing analyses under the guidance of senior team members. The Pricing Analyst partners closely with Sales, Finance, Proposal, and Client Services teams and plays a key role in ensuring pricing decisions support growth, competitiveness, and sound underwriting practices. This position reports to the Manager, Pricing & Underwriting and offers strong development opportunities for candidates interested in building a career in pricing, underwriting, and healthcare analytics.
Essential Duties and Responsibilities
- Support client‑specific pricing, underwriting, and financial analysis for new business and renewal opportunities.
- Assist with pharmacy claims data analysis to identify utilization patterns, cost drivers, and pricing trends.
- Prepare pricing models, rate calculations, and supporting documentation under established methodologies and guidelines.
- Support RFP and proposal financial responses, including pricing exhibits and summary analyses.
- Collaborate with Sales, Client Services, Finance, Proposal, Legal, and PBM Operations to gather inputs and support pricing deliverables.
- Ensure pricing outputs align with internal pricing policies, data standards, and regulatory requirements.
- Perform quality checks on pricing models and analyses to ensure accuracy and completeness.
- Contribute to the maintenance and improvement of pricing tools, templates, and processes.
- Participate in department initiatives, training, and special projects.
- Perform additional duties as assigned.
Education and Experience
- Bachelor’s degree in Finance, Economics, Mathematics, Statistics, Data Science, Business, or a related quantitative field, or an equivalent combination of education and experience.
- 0–2 years of relevant analytical experience, including internships, co‑ops, or academic project work.
- Exposure to pricing, underwriting, financial analysis, or healthcare‑related analytics is a plus.
- PBM or healthcare pricing experience is preferred, but not required.
- Proficiency in Microsoft Excel, including formulas, data analysis, and basic financial modeling.
Knowledge, Skills, and Abilities
- Strong analytical and problem‑solving skills with the ability to work with large datasets.
- Solid understanding of basic pricing and financial analysis concepts, or a strong willingness to learn.
- High attention to detail and accuracy.
- Effective organizational and time‑management skills in a deadline‑driven environment.
- Ability to communicate analytical results clearly to both technical and non‑technical stakeholders.
- Strong written and verbal communication skills.
- Ability to work collaboratively within cross‑functional teams.
- Proficiency in Microsoft Office Suite, particularly Excel; familiarity with Salesforce.com or similar CRM tools is a plus.
Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required.
EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employers and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.