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Cambia Health Pharmacy Pricing & Market Solutions Advisor - R-5139_4-4185 in Lewiston, Idaho

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2303338 Pharmacy Pricing & Market Solutions Advisor

Work from home within Oregon, Washington, Idaho, or Utah

Build a career with purpose. Join our

Cause

to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia\'s dedicated team of Pharmacy Pricing & Market Solutions Advisor\'s are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Pricing & Market Solutions Advisor is responsible for delivering on critical Plan initiatives focused on customer growth, retention, and revenue. This includes optimization of pricing strategies, deep understanding of end-to-end assumptions and refinement of data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM). - all in service of creating an economically sustainable health care system.

Are you a data-driven problem solver with a passion for healthcare and pharmacy? Are you someone with a deep understanding of end-to-end assumptions and data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM)? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

  • Bachelor\'s degree in Finance or related field.
  • 8+ years of experience with a Pharmacy Benefits Manager (PBM), underwriting, financial, reporting, pricing, rebates, and business data analysis
  • Equivalent combination of education and experience.

Skills and Attributes:

  • Demonstrated detailed knowledge of PBM pricing and concepts.
  • Excellent business analysis, problem solving and analytical skills.
  • Proficiency and understanding of health plan and PBM underwriting processes and healthcare products. Actuarial experience is also a plus.
  • Strong oral, written and interpersonal communications skills as well as proficiency in presentation development and delivery.
  • Demonstrated high level of attention to detail and quality.
  • Demonstrated high level of proficiency in Microsoft Office (Word, Excel, PowerPoint, Tableau, SQL, Power BI).

What You Will Do at Cambia:

  • Conduct market research to help inform corporate pharmacy pricing strategies and market solutions across line of business.
  • Lead quantitative and qualitative analysis, with the highest level of attention to detail
  • Works with cross-functional team members and business partners to develop pharmacy pricing standards, assumptions and strategies.
  • Deliver compelling business cases to drive concepts through ideation to approval to execution
  • Act as a trusted advisor to Sales and other stakeholders to inform devise individual customer retention strategies and renewal quotes
  • As needed, participate in calls with producers and employer groups to explain pricing
  • Provide ad hoc training on pharmacy pricing concepts

#LI-Remote

The expected hiring range for a Pharmacy Pricing & Market Solutions Advisor is \$99,500 - \$134,600 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is \$93,000 - \$153,000. #LI-remote

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we\'re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Tea ?

At Cambia, you can:

  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.

Annual employer contribution to a health savings account.

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