[Remote] Principal Business Analyst - Pricing and Underwriting

Note: The job is a remote job and is open to candidates in USA. VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner. They are seeking a Principal Business Analyst to manage the compilation, analysis, and reporting of data for pricing contracts for PBM services, working cross-functionally to set market pricing while meeting financial objectives.

Responsibilities

• Oversee and implement VytlOne’s pricing strategy for VytlOne’s PBM opportunities
• Drive full pricing process for traditional and pass through PBM RFP opportunities. Gather, assess and evaluate quantitative elements of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc
• Research and monitor competitors and industry trends
• Streamline processes and models to drive efficiency and accuracy
• Provide financial support for prospect contract negotiations and respond to RFP financial requests
• Assist in presenting pricing model and strategy to senior leadership
• Communicate range of pricing scenarios/options to internal stakeholders
• Lead intradepartmental projects and company projects
• Work with Sales and Leadership teams in creating pricing and product positioning strategies
• Lead functional & organizational initiatives as required
• Develop, maintain and distribute ad-hoc reports and financial models as needed
• Promptly report any allegations of impropriety to the Compliance Department
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
• Complete required training, as assigned, within the established timeframes
• Must be able to cope with the mental and emotional stress of the position
• Maintain regular attendance in accordance with established policies
• Perform other job-related duties as assigned

Skills

• Bachelor's Degree in Accounting, Finance, or Economics
• Minimum of 8 years' experience completing complex analytical, financial analysis for PBM services in both traditional and pass through PBM contract models
• Knowledge of pricing inputs and services mix (plan design, prescription history, retail pharmacy network models, rebate assumptions, specialty, mail pharmacy, brand/generic and more) for contracted PBM services across both traditional and pass through pricing methodologies
• Experience working with many aspects of PBM Underwriting including, but not limited to, Health Systems, Commercial lines of business, Government Programs, and Coalitions
• Advanced knowledge of Microsoft Excel & Word
• Basic SQL proficiency utilizing functions, statements such as SELECT, CASE, or JOIN, and conditional operators
• Can independently manage all aspects of pricing RFPs and renewals with minimal supervision in coordinating with other teams to complete projects
• Extensive PBM industry knowledge required and the ability to be the Underwriting team's liaison with other departments to manage interdepartmental projects
• Ability to analyze data specific to client opportunity, consider context of company strategies and offer actionable pricing recommendations
• Extensive experience reviewing, analyzing and assessing complex and unstructured data
• Ability to work on multiple tasks and prioritize deadlines
• Experience coordinating deadlines and deliverables across multiple teams to achieve operational change
• Contribute productively and work cohesively with cross-functional teams in operations, sales, account management and finance in fast paced, dynamic environment
• Excellent written and verbal communication skills, with presentation experience in front of Senior Leadership
• Strong initiative and ability to manage multiple projects, as well as, strong follow through skills
• Must be detail oriented with strong organizational skills

Benefits

• You’ll work with a mission-driven organization focused on improving healthcare outcomes
• Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:
• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan

Company Overview