Pricing Manager

AffirmedRx is on a mission to improve healthcare outcomes by bringing integrity, clarity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.

Join us in improving healthcare outcomes for all!  We promise to do what’s right, always.

Position Summary:

The Pricing Manager is responsible for managing pricing and underwriting processes in support of business development efforts.  The Pricing Manager will have a thorough understanding of PBM pricing intricacies, financial modeling, and data analysis.  The ideal candidate will have experience in development and execution of PBM competitive bidding, guarantee setting, and rebate projections.

What you will do:

1. Underwriting Management:

• Develop pricing and underwriting responses to bids and RFPs, ensuring consistency, efficiency, and alignment with business objectives
• Work closely with other relevant teams to prepare and submit bid responses, as well as support follow up questions, as needed

2. Strategy Implementation:

• Implement pricing strategies and underwriting policies in alignment with the company’s overall business objectives
• Analyze market trends, competitor pricing and industry dynamics to formulate effective pricing and underwriting approaches
• Translate the unique offerings of AffirmedRx into common industry terms

3. Pricing Analysis:

• Conduct comprehensive pricing analyses to determine optimal pricing structures for pharmacy pricing model
• Monitor and evaluate the performance of existing pricing strategies and making recommendations for adjustment as needed
• Develop and/or incorporate rebate projections into overall pricing for bids and evaluate areas for future potential improvement
• Conduct precursor analyses (claims repricing, rebate forecasting, disruptions, savings projections) to be used in development of comprehensive pricing offers

4. Market Research:

• Stay informed about industry trends, regulatory changes, and market dynamics that may impact pricing and underwriting.
• Conduct market research to understand customer behavior, competitive landscapes, and emerging opportunities and incorporate into overall and bid specific strategies

5. Contract Negotiations:

• Collaborate with business development in negotiating pricing terms and conditions with clients.
• Ensure contracts align with underwriting guidelines and pricing strategies.

6. Communication:

• Participate in pre-bid, finalist, and other sales meetings as the pricing SME helping to articulate AffirmedRx’s unique pricing model and guarantee structure to the market
• Communicate pricing and underwriting strategies, decisions, and updates to internal stakeholders.
• Provide insights and recommendations based on data analysis and market intelligence.

 What you need:

• Bachelor's degree in business, finance, or economics or relevant experience required
• 5+ years of healthcare analytics experience, including 3+ years in PBM industry required
• Direct experience with PBM pricing/underwriting as part of bid submission, or financial modeling and evaluation of PBM bid submissions (e.g. consultant)
• Strong communication skills, with the ability to influence at all levels of the organization
• Ability to work collaboratively with cross-functional teams, internal and external
• Exceptional technical skills with the Microsoft Office suite
• Analytical and database programs (SQL, PowerBI, Python, etc) experience preferred
• Willingness and ability to travel (10%-20%)

 What you get:

• To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.
• To work in a culture where people thrive because when OUR team thrives, OUR business thrives.
• Competitive compensation, including equity, with health, dental, vision and other benefits.

Note: 

AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment.  Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.