Assessment Pricing Analyst

The Assessment Pricing Analyst is responsible for responding to pricing-specific request for proposal (RFP) questions, identifying financial needs of prospective or renewing clients, requesting and analyzing financial reports, performing underwriting analysis functions, and quantifying the impact of various pricing structures on pharmacy utilization and costs.

Essential Duties and Responsibilities include the following. Other duties may be assigned:

• Perform pricing/underwriting and modeling for prospects/renewal clients by creating competitive financial packages that meet the financial requirements of the Company.
• Document and track day-to-day pricing activities to ensure efforts are dedicated to winning and retaining business.
• Maintain accurate records assignments in SharePoint.
• Ensure timely delivery of all assigned Pricing Team projects, tasks, and requests.
• Update document details, capabilities, and features of each underwriting tool used by the team, including, but not limited to, the profit and loss (P&L) model; provide process improvement recommendations; innovation minding work.
• Facilitate development of the team's financial models, such as the team's P&L model, to ensure they reflect enhancements such as new industry pricing strategies, evolving internal corporate cost structures, and a well-documented list of financial assumptions and qualifications.
• Ensure personal deadlines are met and any changes or delays in timelines are clearly communicated.
• Ensure that pricing team policies and procedures are accurately maintained and that changes are communicated.
• Facilitate and manage consistent flow of information to the pricing team about prospective and current client PBM selection status to ensure that pricing staff is prepared to create best-and-final offers (BAFOs) or client renewal offers 180 days in advance of a client contract end date.
• Administer the process used to track pricing offers, ensure that accepted offers are validated to match proposals, and serve as the escalation point for resolution of any differences.
• Develop, maintain, and communicate the strategy and process for responding to requests for pricing offers.
• Interpret and analyze historical claims utilization and prepare client utilization profiles for the team.
• Calculate potential client savings generated between a current pricing structure and a newly created pricing arrangement.
• Prepare ad hoc reports and analyses (cost/benefit analysis, rate analysis, win/loss ratio, competitive intelligence) to support clients, underwriting, claims, client services, and executive management.
• Provide consultation to clients and peers regarding trends, forecasting, and future planning.
• Participate in development and implementation of initiatives to improve processes and procedures.
• Perform, as well as lead associates that perform, pricing/underwriting and modeling for prospects/renewal clients by creating competitive financial packages that meet the financial requirements of the Company.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Client Responsibilities

This is an internal and external client-facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to respond promptly to client needs, solicit client feedback to improve service, respond to requests for service and assistance from clients, meet commitments to clients, and manage difficult or emotional client situations.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelor's degree (or equivalent combination of education and experience) in a quantitative based field such as Math, Statistics, Finance, or Accounting along with 2+ years' proven quantitative experience, preferably with PBM pricing or actuarial experience.

Computer Skills

To perform this job successfully, an individual should have advanced to expert knowledge of Microsoft Excel/Access and SQL. Good working knowledge of MS Word/Outlook as well as relational databases. Knowledge of SQL IDEs and SAS is also highly recommended.

Other Skills and Abilities

• Must be highly analytical, strategic, and detail-oriented.
• Strong communication and decision-making skills.
• Work on multiple complex assignments simultaneously.
• Ability to work in a team environment.
• Ability to analyze data using Excel or Access.

Reasoning Ability

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs) and a variety of abstract and concrete variables.

Mathematical Skills

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Language Skills

Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

Competencies

• Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.
• Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.
• Decision-making - Gathers input from affected parties and available experts, assesses risks and benefits, and makes timely decisions based on sound reasoning.
• Financial Acumen - Demonstrates accurate understanding of financial measurements and documents, how his/her actions affect the company's bottom line, and what must be done to keep profits and cash flow healthy.
• Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks.
• Job-specific Expertise - Demonstrates solid command of relevant knowledge, skills, techniques and technologies, keeps current with recent developments and best practices in the field, and establishes self as the go-to person for up-to-date knowledge in his or her area.
• Planning - Produces realistic, effective plans with clear actions and objectives, workable timelines and specific methods to measure progress, taking into account overall goals, required resources and potential obstacles.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or listen. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 35 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel - This position may require occasional travel and attendance at local conferences and meetings.