Desired
- Any of experience in pharmacy benefit manager or managed healthcare services organizations, and/or other health related entities
- Any of experience as data/business/process analyst
- Certified Pricing Professional or other relevant healthcare pricing certification
- Lean Six Sigma or other process improvement certification
- Strong Microsoft Excel, Power Bi, Sequel, Python and/or other related software and comfortable with writing formulas- Assist in the completion of financial sections of (RFPs), market checks, and renewals to define the scope of PBM client support and forecast accurate cost assumptions into pricing offers.
- Underwriting Request for Proposals (RFPs) requirements such as fees, credits, and performance guarantees
- Provide analytical expertise in the design and function of the prospective client business
- Assist in all aspects of proposal development, including underwriting process and infrastructure
- Perform calculations and analysis to ensure KPP is meeting their pricing and performance guarantees as well as clinical trends and opportunities for improvement
- Create library of standard reports, maintain organized files and drafts in operationally designated locations while coordinating and presenting customer utilization analysis reports internally
- Provide detailed analyses identifying risk and opportunity as well as consultative analyses to internal and external clients
- Provide clinical program development assistance and insight
- Assist in the development and implementation of standard reporting procedures while supporting and driving continuous process improvement as well as managing reports that maximize patient outcomes utilizing predictive modeling
- Support contracting team in creation, optimization, and compliance of contracts, for both new and existing clients
- Assist in estimating rebates for prospective clients, and reconciliation of rebate payments and minimum guarantees
- Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
- Perform other related duties as assigned
- Must be able to perform the essential job functions of this position with or without reasonable accommodation