Pharmacy Benefits Management Company (PBM) Positions

The function is responsible for management of current high-impact retail-specific risks and opportunities in client billing guarantees, supplier payments, with emphasis on generics. The incumbents spearhead the design of the supporting systems and processes. Value-added comes from integrating knowledge of client and supplier contracts, managed care programs, claim adjudication intricacies, PBM marketplace economics such as market segmentation, competi to r pricing and positioning, and drug pipeline and utilization trends. Team members work with other Marketing functional areas, Sales and Account Management and Finance to forecast, measure, and enhance profitability. They work with IT to create and improve operational capabilities.

Based on a comprehensive and keen understanding of the business, exercising a high degree of independence and initiative, the incumbent will provide insightful and revealing direction and decision making support for departmental initiatives. They will spearhead the design of very complex supporting systems and processes to exploit the identified financial opportunities and will specify and QC analytical assignments.

Improve forecasting and implement programs to control the effect of new generics in pricing;

Determine and control the impact of pharmacy contracts on client performance guarantees;

Produce specifications for, and carry out productivity enhancing programs in conjunction with partner groups;

Data mining and breakthrough ad-hoc analyses;

Clear, informative, insightful management presentations;