Pricing & Business Analyst

Job Title

Pricing and Business Analyst supporting Sav-Rx

Summary

As a Pricing and Business Analyst supporting Sav-Rx, you will be responsible for driving business growth through RFP re-pricing and financial modeling for prospective and existing clients. You translate complex prescription claims into actionable insights, identify cost-saving opportunities through trend analysis, and perform various ad-hoc analysis critical to the success of the company. Your role is essential in proving the fiscal value of the Sav-Rx PBM model to employers, unions, and other commercial clients.

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

• Re-price prospective client claims data against Sav-Rx's pricing engines to demonstrate potential savings.
• Create, maintain, and automate regular reports on key performance indicators (KPIs) such as drug spend, adherence rates, formulary compliance, and rebate performance. Utilize tools like Tableau, Power BI, or Excel to present data in clear, visually compelling formats for internal stakeholders and clients.
• Collaborate with sales and account teams to prepare data-driven responses for RFPs. Gather and analyze competitive intelligence, benchmark data, and client-specific metrics to support proposal development and ensure proposals are accurate, competitive, and compliant.
• Respond to requests for custom analyses, including trend identification, scenario modeling, and impact assessments. Examples may include evaluating the effects of drug pricing changes, regulatory updates, or market shifts on client portfolios.
• Extract, clean, and validate large datasets from internal systems (e.g., claims databases, CRM tools) and external sources. Ensure data integrity, compliance with HIPAA and other regulations, and alignment with PBM best practices.
• Work closely with sales, account management, finance, clinical, and operations teams to identify opportunities for process improvements and data-driven decision-making.
• Stay updated on PBM industry trends, tools, and methodologies to enhance analytical capabilities and contribute to team knowledge sharing.

Supervisory Responsibilities

No supervisory responsibilities

Client Responsibilities

This is an internal facing position. There may be instances where external client communication is required. In such instances, excellent customer service skills and interpersonal communication skills (listening/verbal/written) are necessary. One must be able to; manage difficult or emotional client situations;
Respond promptly to client needs;
Solicit client feedback to improve service;
Respond to requests for service and assistance from clients;
Meet commitments to clients.

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 accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 5+ years' experience or equivalent combination of education and experience, and 2 years' of SME in respective areas

Previous Pharmacy Benefit Management, healthcare, or managed care experience highly preferred.

Computer Skills

To perform this job successfully, an individual should have expert knowledge of Microsoft Excel and SQL. Good working knowledge of MS Word/Outlook, BI tools, as well as relational databases.

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, BI tools or SQL
• Underwriting RFPs

Reasoning Ability

• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills

• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability…