PBM Pricing Strategy Analyst Senior

Anticipated End Date

PBM Pricing Strategy Analyst Senior

Pharmacy Benefit Management Pricing Strategy Analyst Senior

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Pharmacy Benefit Management Pricing Strategy Analyst Senior will be responsible for pharmacy underwriting pricing initiatives for self-funded national accounts.

A proud member of the Elevance Health family of companies, Carelon Rx (formerly Ingenio Rx) leverages the power of new technologies and a strong, clinical‑first lens, to deliver member‑centered, lasting pharmacy care.

• Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities.
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization.
• Creates tools and processes to monitor margin revenue and client retention.
• Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.
• Implements pricing in the system related to margin.
• Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.

Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

• Intermediate Excel experience and analytical skills strongly preferred.
• Pharmacy underwriting/PBM experience strongly preferred.
• Excellent verbal and written communication skills preferred.

Illinois;
Massachusetts;
Minnesota;
New Jersey

For candidates working in person or virtually in the below locations, the salary
* range for this specific position is $86,064 to $134,946

Non-Management Exempt

AFA >
Financial Operations

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market‑competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain…