at Elevance Health in CHICAGO, Illinois, United States
Job Description
WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Pricing Strategy Manager, Rebate & Formulary
+ Job Family: Finance and Actuarial
+ Type: Full time
+ Date Posted:Mar 20, 2024
+ Anticipated End Date:Apr 06, 2024
+ Reference: JR109731
Location:
+ CT, WALLINGFORD
+ CA, WOODLAND HILLS
+ FL, MIAMI
+ NJ, MORRISTOWN
+ WI, Waukesha
+ IN, INDIANAPOLIS
+ OH, CINCINNATI
+ VA, RICHMOND
+ NY, NEW YORK
+ WA, SEATTLE
+ NH, MANCHESTER
+ TX, GRAND PRAIRIE
+ MI, DEARBORN
+ TN, NASHVILLE
+ NY, MIDDLETOWN
+ MN, GILBERT
+ GA, MIDLAND
+ NV, LAS VEGAS
+ MN, MENDOTA HEIGHTS
+ TX, HOUSTON
+ VA, NORFOLK
+ OH, COLUMBUS
+ MO, ST LOUIS
+ NC, CARY
+ MD, HANOVER
+ WV, CHARLESTON
+ NJ, ISELIN
+ OH, MASON
+ OH, SEVEN HILLS
+ IL, CHICAGO
+ RI, SMITHFIELD
+ CO, DENVER
+ NV, LAS VEGAS
+ NC, WINSTON
+ ME, SOUTH PORTLAND
+ GA, ATLANTA
+ NY, LATHAM
+ DC, WASHINGTON
+ IA, W DES MOINES
+ VA, ROANOKE
+ MA, WOBURN
+ FL, TAMPA
+ LA, MONROE
Description
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
CarelonRx’s Pharmaceutical Rebates Org is looking to hire a Pricing Strategy Analyst Manager. This high-performing individual contributor will be responsible for PBM pharmacy rebate administration functions to support and optimize formulary strategy across multiple lines of business. The position will work in a hybrid way, one day a week from any US Elevance Health corporate office.
How you will make an impact:
+ Tracks and manages details of contract scenarios and relevant terms, handles day-to-day activities/inquiries associated with rebate contract eligibility, monitor implementation of formulary decisions to assure compliance.
+ In collaboration with cross-functional teams; identify and investigate issues as they arise, and partners to develop solutions related to formulary positions, rebate contracts, pharma programs and relevant initiatives.
+ Assists in developing strategy and identifying opportunities for enhanced or new financial opportunities related to drugs/drug classes.
+ Extracts data, performs financial analysis, and identifies trends and emerging opportunities and considerations.
+ Creates and implements metrics and supports performance measures to establish rebate performance objectives. Implements new processes, process improvements when needed, and best practices related to formulary optimization, rebate contract compliance and reconciliation.
Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
+ Experience with PBM services and concepts, including familiarity with formulary management process in various lines of business including Medicare and Medicaid.
+ Strong analytical skills including report development and trend analysis; Highly proficient in Excel.
+ Strong written and verbal communications skills including presenting to internal matrix partners and external clients
+ Collaboration skills to work across cross-functional team.
+ Relationship building skills for direct client support.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $94,880 to $170,784
Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disa
