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Director Pharmacy Benefits, Underwriting and Client Analytics Loc:Montvale, NJ


2017-11-19 14:45:49
Job Type: Full Time only
Budget $: 100,000 - 200,000

MANAGERs Comments:::: This position is with a pediatric hospital so pediatric experience as a pharmacist is a requirement. This is a working director so they will be assisting in the daily staffing responsibilities as well as management of the pharmacy operations Job description Primary Responsibilities: · Manage pricing related activities for prospective and existing clients including development of pricing strategies, RFP responses, model development, guarantee reporting. · Ensure all clients are set up according to agreed upon terms and conditions. · Manage key aspects of contracting process to ensure that contractual terms match agreed upon proposal · Author new contract language for new pricing strategies and guarantees · Design, develop and implement reporting and analytical infrastructure to meet ever changing market demands · Support account management with monthly, quarterly and annual client reporting · Continuously review client performance to mitigate risk and maximize profitability · Ad hoc and risk management analysis including design and development of physical models · Develop models and solutions that will help build strategic dialogue with clients and prospects · Collaborate with internal customers to develop analytic models, methodologies, and reports to meet client and advisor needs · Conduct and interpret quantitative and qualitative analyses to provide insight into existing program performance and product utilization; communicate program savings and ROI - Analyze measures such as PMPM, utilization, and average cost to communicate expansion opportunity · Work collaboratively across all other EmpiRx departments to effectively communicate and meet the organizationâ??s analytic needs - Identify areas of analytical focus for EmpiRxâ??s service delivery/performance and evaluation of potential areas of opportunity and risk · Translate finance processes into step by step configuration tasks with SOPS · Ability to communicate analytic findings and conclusions in an easy to understand way to solve problems or support strategic planning · Appropriately prioritize competing requests to ensure focus on highest impact activities; leverage team resources to complete tasks Desired Skills and Experience: · 8-10 yrs. related PBM or Healthcare experience · At least 3 years of managerial experience leading a team of analysts or similar staff · Bachelorâ??s Degree, preferably in Business, Economics, Statistics, Actuarial Science, or Finance · Proficient in Microsoft Office suite; Salesforce Sales Cloud CRM tool, a plus · Knowledge and proficiency in use of Tableau or similar reporting tool, a plus · Ability to work in a fast-paced industry at a start-up with duties that will vary day to day · Proven ability to manage multiple clients and a team of analysts · Excellent written and oral skills, both in presentation and development of materials; ability to present and influence credibly at all levels in an organization · Proactively stay current with pharmacy and industry trends initiatives
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