Partner with Pharmacy Network leadership to develop and maintain analytical models that inform network strategy, pricing decisions, and contract negotiations
Manage regulatory reporting requirements, ensuring accuracy, timeliness, and compliance across all pharmacy network submissions
Analyze and quantify contractual financial performance with pharmacy partners, identifying trends, opportunities, and areas for optimization
Oversee MAC pricing impacts and NADAC management, monitoring pricing changes and assessing their influence on network economics and guarantees
Conduct pricing modeling and scenario analysis to evaluate the financial implications of network changes, contract modifications, and market dynamics
Respond to internal and external inquiries regarding pharmacy network performance, pricing structures, and contractual terms with clear, data-driven insights
Build scalable analytical frameworks and reporting tools that enable the Pharmacy Network team to make informed, strategic decisions
Collaborate cross-functionally with Finance, Client COGS, and Operations teams to ensure alignment on pharmacy economics and client financial performance
Identify process improvements and automation opportunities to enhance efficiency and accuracy in pharmacy network analytics and reporting
Requirements
4+ years of experience in healthcare analytics, pharmacy benefit management, financial analysis, or related fields
Detail-oriented and organized with proven ability to manage multiple projects, meet deadlines, and maintain accuracy in complex analyses
Technically proficient with advanced Excel/Google Sheets skills and experience with data analysis tools; SQL or other programming languages a plus
Strong communicator who can translate complex analytical findings into clear, actionable recommendations for diverse audiences
Collaborative team player with experience partnering with cross-functional stakeholders and supporting leadership decision-making
Self-directed and proactive with ability to work independently, anticipate needs, and drive projects to completion.
Experience in pharmacy benefit management (PBM), pharmacy networks, or pharmaceutical pricing
Knowledge of NADAC, MAC pricing methodologies, and pharmacy reimbursement models
Familiarity with regulatory reporting requirements in healthcare or pharmacy
Background in contract analysis or financial performance evaluation
Experience with Tableau, Power BI, Python, or other advanced analytical tools