PBM Senior Analyst, Underwriting

Founded by industry pioneers, Slate Rx provides simple and affordable pharmacy benefit programs to employer groups, unions, public sector groups, health systems, and other payers throughout the United States. As the industry’s only PBXTM, Slate Rx is creating real value for plan sponsors on day one through purchasing scale and continued management via innovation and transparency. Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members.

Job Overview:

As the Senior Analyst you will play a crucial role in supporting the Director of Underwriting with the increasing demands of financial arrangements and repricing. Your responsibilities will include conducting financial analyses, supporting RFP processes, executing repricing exercises, analyzing value propositions, and monitoring contract compliance. Collaborating closely with cross-functional teams, you will contribute to enhancing member health outcomes and driving the growth of our organization.

Responsibilities:

As the Senior Analyst your key responsibilities will include:

• Assist in the completion of financial questionnaires for RFP processes.
• Conduct repricing exercises and retrospective analyses of deal performance for clients and their advisors.
• Analyze the value proposition for prospective clients.
• Complete repricing and related requests as needed.
• Conduct in-depth financial analysis to compare relative value between different deal structures.
• Evaluate client ROI or opportunities arising from Slate Rx programs.
• Provide expert responses to complex questions from internal resources, including implementation and account teams.
• Produce gross to net cost comparisons to guide decision-making.
• Collaborate with the clinical team to develop therapeutic class or category-based financial scorecards for future strategic planning.
• Address other financial inquiries originating from Slate Rx administration and analytics teams.
• Provide oversight and training to team members who have been delegated underwriting projects.
• Understand and adjust variables in repricing data to adhere to RFP and company requirements.
• Participate in development and implementation of initiatives, as needed, to improve processes and procedures.
• Quantify the impact of various benefit designs on client utilization and costs.
• Perform miscellaneous job-related duties as assigned.

Qualifications:

To excel in this role, you should possess the following qualifications:

• Proficient in collecting and extracting relevant data from various sources, including pharmacy insurance claims databases. Skilled in utilizing data analysis tools and techniques to identify trends, patterns, and insights that contribute to informed decision-making.
• Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies. Proficiency in identifying potential financial risks and proposing mitigation strategies.
• Strong aptitude for building complex financial models to simulate different scenarios, pricing structures, and underwriting outcomes. Expertise in using modeling software and spreadsheet applications for accurate financial projections.
• In-depth understanding of the intricate details and terminology commonly found in PBM contracts. Proficient in reviewing, interpreting, and negotiating contract terms to optimize financial outcomes and minimize potential liabilities.
• Familiarity with statistical methods and techniques for evaluating data significance and drawing meaningful conclusions. Capable of performing statistical analyses to support underwriting decisions and pricing strategies.
• Excellent verbal and written communication skills with the ability to convey complex financial concepts and analysis results in a clear and understandable manner. Comfortable presenting findings to internal teams, clients, or stakeholders.
• Keen attention to detail when working with financial data, contracts, and documentation. Ensures accuracy and precision in all aspects of underwriting and financial analysis.
• Strong problem-solving abilities, capable of identifying issues, analyzing root causes, and proposing effective solutions.…