Full Job Description
Associate Consultant, Pharmacy Benefits Financial Analytics
The Role
• Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness
• Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations.
• Technical analysis of rebates and contracting pricing strategies.
• May lead or assist with managing pharmacy benefits Requests For Proposals ("RFP's") for our clients within scope, profitability and productivity targets.
• Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools
• Support business growth strategies and marketing initiatives to assist Leaders in business development and cross-selling efforts. Contribute to the continual development of resources, efficiencies and quality.
• Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients. • 4 years of medical or pharmacy benefits financial administration and/or audit experience to include significant exposure to tools relevant to analysis of large data sets and complex financial analysis. Previous actuarial expertise is a plus.
• Undergraduate degree in business, actuarial science, or related discipline. Advanced degree preferred.
• Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing experience preferred.
• Strong demonstrated knowledge and familiarity with SQL. Experience with Python a plus.
• Demonstrated project management and client servicing/relationship management skills.
• Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results.
• Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences.
• Passionate attention to detail and quality.
Segal's total rewards are part of what makes Segal a special place to work. The current salary range for this position is $84,000 - $105,000.
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