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Senior PBM Pricing Analyst

MedOne Pharmacy Benefit Solutions

1 Positions

ID: 3206644

Posted On 04/17/2025

Job Overview

**Position Overview:** The Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data, delivers financial reconciliations, and develops pricing models to optimize financial outcomes while collaborating across departments to provide actionable insights and solutions.

**About MedOne:** MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You'll Do:

+ Review and monitor client and pharmacy contracts and our financial performance against them on an ongoing basis

+ Prepare, investigate, and deliver client financial guarantee reconciliations

+ Investigate changes or unexpected trends client or pharmacy performance by analyzing pharmacy claims data and looking for outliers or trends over time

+ Collaborate with team members to execute MAC appeals process on a weekly basis

+ Develop and execute recurring reports/research processes for discount card line-of-business

+ As needed, use and design pricing models and analysis templates e.g., to hit financial targets, predict the impact of pricing/utilization changes, and/or determine the size of risks/opportunities

+ Execute MAC maintenance tasks, audit processes, and uploads; as needed during execution, identify discrepancies, assess risk, and recommend solutions

+ Expand and update share the Pricing team’s SQL data environment by adding new and relevant data sources based on evolving business needs

+ Conduct ad hoc inquiries and analyses in a timely manner by synthesizing disparate data sources to provide clear and actionable information to both internal and external stakeholders

+ Continuously engage in process analysis and problem solving to identify opportunities that can be addressed via automation tools and/or applications

+ Lead interdepartmental collaborations as needed and develop positive relationships with other teams/business units

+ Assist, train, and review the work product of peers within the Strategic Pricing business unit

+ Plan and execute short-term and medium-term Pricing projects

+ Portray the company in a positive image

+ Abide by all rules, regulations, and policies of the employee

+ Other duties as assigned

What You Will Bring to MedOne:

+ Bachelor’s Degree in Math, Computer Science, Engineering, IT, Statistics, Economics, or Finance, or equivalent experience. Must be eligible to work in the United States without need for work visa or residency sponsorship. Should be under no restrictive non-compete covenant from a previous or existing employer.

+ 2+ years of work experience in PBM or pharmacy pricing role

+ Data mining and/or financial modeling using industry standard tools in similar roles

+ Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case.

+ Advanced knowledge of reporting, data analysis, and problem solving using analytical tools such as advanced Excel, SQL, SSRS, BI tools and/or ad hoc Query Tools.

+ Ability to create and successfully implement programs for automation.

+ Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.

+ Ability to think strategically and proactively.

+ Time management and prioritization skills.

+ Incredible work ethic and energy.

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. Our top core value is to **_prioritize your well-being_** _._ To support you in living this value, we offer:

+ Competitive salary and bonuses that reward your performance.

+ Comprehensive health, dental, and vision insurance + additional benefits

+ 401(k) with company match to secure your future.

+ Generous paid time off and holidays.

+ Opportunities for professional growth and development.

+ A vibrant and collaborative work culture.

**Location:** Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

**Employment Type:** Full Time, Salary

**Reports to:** Senior Director of Strategic Pricing

**How to Apply:** If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page (https://medone-rx.com/our-company#careers) .

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.

Primary Contact

1659977850123

Jolene Kohlenberg

HR Manager,

5632584482

Phone

Phone

Phone

Fax

[email protected]

Email

True

True

True

Job Details

Categories

Pharmacy

Location

Dubuque, IA

Job Type

Employee

Full/Part

Full Time

Company ID

1152

Job REQ #

3206644

\# Positions

1

Start Date

20250417

End Date

20250603

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MedOne Pharmacy Benefit Solutions

About the Company

Company Information

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. MedOne's corporate office is located in Dubuque, IA.

Why Join the MedOne Movement?

To help people conveniently access the most appropriate prescription treatment at the most affordable price.

Our Core Values:

1. Prioritize your well-being

2. Act as a MedOne team

3. Care for Members with Compassion

4. Strive to exceed client expectations

5. Do the right things for the right reasons

6. Bring your best

7. Challenge the status quo

Benefits:

+ Competitive Salary

+ Medical, Dental, Vision, Disability and Life Insurance for full-time employees

+ Matching 401K Plan

+ Paid Time Off

+ Paid Holidays and Birthdays

+ Gym Reimbursement

+ Tuition Reimbursement

+ Career Growth Opportunities

MedOne is an equal opportunity employer.

Job Offers are contingent on passing a background check and drug screen.