Network Economic Financial Consultant

Posted Yesterday
Be an Early Applicant
Home, KS
109K-174K Annually
Senior level
Insurance
The Role
Lead complex analyses, financial modeling, and reporting to create new business insights and strategies for financial pricing programs. Provide consultation and analytic insight to stakeholders. Drive enterprise-wide transformation and process improvement to financial pricing analytics processes and programs.
Summary Generated by Built In

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Network Economic Financial ConsultantJob Description

The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create new business insights and strategies for Prime’s financial pricing programs and will drive the strategic vision for financial pricing analyses and reporting. Will also provide complex consultation and analytic insight to internal and external stakeholders and is a primary contact for financial pricing information.

Responsibilities

  • Provide leadership and subject matter expertise on Prime’s financial pricing programs
  • Develop analytic recommendations that directly impact Prime’s financial pricing strategies, financial contract management, profit drivers and the organization’s financial value statement
  • Lead the development of financial analytic pricing methodologies, models, reports and new products to drive and influence business decisions and outcomes
  • Demonstrate advanced knowledge of Prime’s financial pricing practices and analytic models; develop solutions to a variety of complex problems
  • Drive enterprise-wide transformation and process improvement to financial pricing analytics processes and programs
  • Other duties as assigned

Minimum Qualifications

  • Bachelor’s degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 8 years of work experience in pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field
  • 3 years of experience using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Extensive PBM industry knowledge and deep understanding of the financial levers of a PBM; ability to articulate the industry trends to internal and external clients, and the impact of trends and changes to PBM and client financials
  • Ability to establish rapport and effectively influence at all levels within an organization
  • Expert ability to communicate effectively and present complex data to a wide variety of audiences
  • Expert influencing skills to drive change and adoption of new analytic capabilities to support pricing financial analytics

Preferred Qualifications

  • Master’s degree in Business Administration, Finance, Health Care Administration, Statistics, Computer Science, Math or related area of study
  • Experience in Big Data and Data Analytics

Minimum Physical Job Requirements

  • Ability to work in a flexible schedule which may include weekends, holidays, or shifts outside of Prime’s core business hours of 9:00am-3:00pm
  • Constantly required to sit, use hands to handle or feel, talk and hear
  • Frequently required to reach with hands and arms
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

  • Reports to Director or Senior Director in the Network Management or Pricing Planning & Analysis department

Potential pay for this position ranges from $109,000.00 - $174,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Top Skills

Alteryx
Python
R
SAS
SQL
Tableau
Teradata
The Company
HQ: Eagan, MN
3,577 Employees
On-site Workplace
Year Founded: 1987

What We Do

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.

In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US.

In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products:
• NetResults™
• Specialty Drug Management
• Best in Care™
• GuidedHealth®
• Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations
• Prime Analytics™
• CareCentered Contracting™Controlled Substance Management Program

Join us!
Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career.

At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact.

Follow Prime on LinkedIn to learn more.

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