[Remote] Associate Consultant, Pharmacy Benefits Financial Analytics

Note: The job is a remote job and is open to candidates in USA. Segal is hiring an Associate Consultant for its Pharmacy Benefits Consulting Practice. The role delivers pharmacy benefits financial analytics consulting, including analysis of PBM data, contracts, pricing, and program effectiveness, and supports client RFPs, project management, and business development.

Responsibilities

• Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness
• Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations
• Technical analysis of rebates and contracting pricing strategies
• May lead or assist with managing pharmacy benefits Requests For Proposals (“RFP’s) for our clients within scope, profitability and productivity targets
• Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools
• Support business growth strategies and marketing initiatives to assist Leaders in business development and cross-selling efforts. Contribute to the continual development of resources, efficiencies and quality
• Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients

Skills

• 4+ years of medical or pharmacy benefits financial administration and/or audit experience to include significant exposure to tools relevant to analysis of large data sets and complex financial analysis
• Undergraduate degree in business, actuarial science, or related discipline
• Strong demonstrated knowledge and familiarity with SQL
• Demonstrated project management and client servicing/relationship management skills
• Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results
• Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences
• Passionate attention to detail and quality
• Previous actuarial expertise is a plus
• Advanced degree preferred
• Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing experience preferred
• Experience with Python a plus

Benefits

• Remote work

Company Overview

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