Role Summary

HIGHLIGHTS

Senior Health actuarial/analytics role focused on pharmacy pricing and analytics for ASO/self-funded employer business in Oakland, CA. You will lead Rx data analytics, ASO pricing and revenue management, and support reserving and cost trend analysis. The role reports to the Senior Director, Actuarial Management and partners with underwriting, trend teams, and senior executives.

JOB DESCRIPTION SUMMARY

Lead Rx data analytics and formulary/value assessment for pharmacy benefits
Develop ASO pricing strategies and manage revenue for self-funded employer groups
Support claim reserves and cost trend analysis for pharmacy
Design systems and processes for use by junior analysts to improve efficiency
Work in a hybrid model based in Oakland, CA (business-unit hybrid default)

DOMAIN EXPERTISE

pharmacy benefit manager operations and pricing
pharmacy rebate and network dynamics
ASO pricing and revenue management
Rx data analytics
managed care or payer experience

KEY REQUIREMENTS

10+ years of relevant experience
5+ years' experience in health care, PBM, or pharmacy benefit consulting
BA/BS in Finance, Actuarial, Data Science, Math or equivalent experience
Expertise with SAS and advanced Excel
Deep knowledge of PBM operations, pharmacy rebate and network dynamics

TECH STACK

Excel
PowerPoint
Word

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead Rx data analytics and formulary/value assessment for pharmacy benefits
Develop ASO pricing strategies and manage revenue for self-funded employer groups
Support claim reserves and cost trend analysis for pharmacy
Design systems and processes for use by junior analysts to improve efficiency
Work in a hybrid model based in Oakland, CA (business-unit hybrid default)

DOMAIN EXPERTISE

pharmacy benefit manager operations and pricing
pharmacy rebate and network dynamics
ASO pricing and revenue management
Rx data analytics
managed care or payer experience

KEY REQUIREMENTS

10+ years of relevant experience
5+ years' experience in health care, PBM, or pharmacy benefit consulting
BA/BS in Finance, Actuarial, Data Science, Math or equivalent experience
Expertise with SAS and advanced Excel
Deep knowledge of PBM operations, pharmacy rebate and network dynamics

TECH STACK

Excel
PowerPoint
Word

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead Rx data analytics and formulary/value assessment for pharmacy benefits
Develop ASO pricing strategies and manage revenue for self-funded employer groups
Support claim reserves and cost trend analysis for pharmacy
Design systems and processes for use by junior analysts to improve efficiency
Work in a hybrid model based in Oakland, CA (business-unit hybrid default)