Manager of Pricing
New
R
RxSensePharmacy benefits
Remote - USFull-TimeManager
Salary110,000 - 140,000 USD per year
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Job Details
- Experience
- 5 + years of PBM or retail pharmacy pricing experience, including direct MAC management, with at least two years in a supervisory or lead capacity; or equivalent combination of education and experience.
- Required Skills
- SQLTableau
Requirements
- Hands-on experience owning MAC management in a PBM or pharmacy setting.
- Experience building and maintaining MAC lists, managing MAC factor adjustments, and quality-checking pricing before it goes live.
- Bachelor’s degree in finance, Business, Economics, or a related field.
- 5+ years of PBM or retail pharmacy pricing experience, including direct MAC management.
- At least two years in a supervisory or lead capacity, or an equivalent combination of education and experience.
- Working knowledge of PBM pricing economics, client and pharmacy contract terms, pricing guarantees, and reconciliation.
- Experience monitoring pricing performance against guarantees and turning variance into corrective pricing actions.
- Experience setting up pricing for client implementations and renewals on tight timelines.
- Ability to explain pricing clearly to non-technical partners and advise the business on pricing decisions.
- Experience leading, coaching, or mentoring analysts and building documented, repeatable processes.
- Advanced Excel skills.
- SQL, Tableau, or other BI tools experience is preferred.
- Experience adopting automated or AI-enabled pricing tools as a business owner is preferred.
Responsibilities
- Create, maintain, and update client-specific and dedicated MAC lists for Enterprise clients.
- Manage MAC factor and multiplier adjustments across clients and quality-check pricing exports and uploads.
- Monitor client and pharmacy performance against contractual guarantees and develop pricing strategies to address gaps.
- Build and administer pricing for new and renewing clients in partnership with Client Experience and implementation teams.
- Resolve MAC pricing escalations, appeals, and complex pricing tickets.
- Review contract terms for pricing implications and maintain accurate contract and pricing information.
- Support quarterly and annual contract reconciliation and report on compliance and pricing performance.
- Prioritize inbound pricing requests and set turnaround expectations with the business.
- Partner with Network Operations, Clinical, and Underwriting on pricing decisions.
- Work with AI and data teams to define requirements for automated pricing tools and lead, coach, and develop the pricing team.
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