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Drug Pricing Manager

AT CVS Health
CVS Health

Drug Pricing Manager

Woonsocket, RI

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary:

As a member of the Client and Network Pricing Team you will be responsible for the coordination of drug pricing initiatives aimed at driving efficient pricing to our members. You will be responsible for analyzing, managing and implementing pricing solutions for hundreds of Caremark PBM accounts. To accomplish this, you will work to optimize prices, develop financial forecasts, and track client and pharmacy guarantees by collaborating with various internal business partners. You will collaborate with a team of financial and analytics professionals to analyze and deploy advanced methods. Some of your key responsibilities will include:

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  • Coordinating Client and Network Pricing efforts
  • Analyzing and developing accurate and efficient pricing for Caremark account
  • Spearheading collaboration efforts with client and other team members and departments to solve complex pricing and analytical problems
  • Presenting network pricing solutions to internal and external partners
  • Managing client relationship and expectations
  • Developing a core understanding of drug pricing, network pharmacy performance, and PBM operations
  • Identifying opportunities for process improvements with cross-functional team
  • Developing and maintaining analytic work plans
  • Applying creativity in developing analytic and financial solutions
  • Building customized reports concentrating on financial and operational performance
  • Prioritizing competing needs to ensure focus on highest impact activities
  • Quickly developing knowledge and understanding of new domains and underlying data sources
Your success will be determined by your ability to meet pricing guarantees and targets and delivering on key initiatives around quality. You will be responsible for driving client satisfaction and managing internal and external expectations. You will need to bring a strong analytical mindset to a dynamic environment focusing on solving financial problems.

In this role, you will be responsible for tracking, analyzing, advising and delivering drug pricing results for client and pharmacy agreements. A key focus will be creating pricing strategies to meet our contractual commitments while minimizing risk. As a member of a highly focused, collaborative team, you will be responsible for strategic decisions and managing the process of competitive initiatives instituted to keep current to certain marketplace dynamics and to optimize profitability at a client level.

Required Qualifications:
  • 5+ years of relevant experience in drug pricing, MAC management or analytics within healthcare
Preferred Qualifications:
  • Understanding of PBM strongly preferred
  • Strong mathematical skills to collect, measure, organize and analyze data
  • Proficiency in data-based programming language and pulling data (SQL, Access, SAS, R, Python, GCP etc.)
  • Excellent communication skills with ability to work with the highest levels of the internal and client team
  • Solid analytical, financial & data modeling skills
  • Experience analyzing to assess quality and meaning of data
  • Preparing reports stating trends, patterns, and predictions using relevant data
  • Ability to work in matrixed environment
  • Outstanding financial acumen and ability to understand highly complex financial guarantee structures
  • Excellent problem-solving skills and ability to construct analytic solutions to business problems
  • Advanced knowledge of in-depth modeling, forecasting techniques, and optimization methodologies
  • Experience working on Tableau or other BI tools
Education:
  • Bachelor's degree required or equivalent Combination of education and experience may be considered
  • Advanced degree in Financial or Quantitative fields preferred
Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 02/28/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Woonsocket, RI 02895, USA
Job ID: CVS-R0401426_1003
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • HSA
    • HSA With Employer Contribution
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
  • Financial and Retirement

    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program