PRINCIPLE RESPONSIBILITIES :
- Provide clients and prospective clients with specialized review of existing plan design contractual terms and pricing to remain competitive.
- Ensuring that the financial analysis on prospective clients is completed accurately and within appropriate deadlines.
- Provide expertise on valuations of potential corporate initiatives creating client pricing ROI and the ability to evaluate opportunities within the larger scope of the entire company.
- Leverage pharmacy and medial claims data to provide actionable and relevant and timely analytic insight.
- Strong understanding of ACA PPACA Medicare and spectrum from fully insured to fully self-funded small and large PBM business plans. Solid understanding of employer / group health benefits from all funding methodologies.
- Engage with executive leadership to identify areas where analytics can drive business value.
- Define team and individual goals managing performance and providing onboarding support and ongoing mentorship to the analytics team.
SKILLS AND REQUIREMENTS :
Bachelors degree form a 4 year college or universityMinimum 5 years health insurance experiencePrior experience analyzing medical and / or self-funding and PBM experience is beneficialStrong Microsoft Excel and Excel Veba skillsProficiency in Microsoft office (Microsoft CRM) is beneficialClear and concise written and verbal communication skills is essentialAbility to manage train and mentor staffAbility to develop and implement innovative pricing strategies whereby improving market competitiveness while maintaining profitability goals.Required Experience :
Exec
Key Skills
C#,Apache Web Server,Credit,Food & Beverage,Biology
Employment Type : Full-Time
Department / Functional Area : Finance
Experience : years
Vacancy : 1