PBM Pricing Manager

Company: Southern Scripts
Location: Minneapolis
Posted on: April 1, 2025

Job Description:

Data Analytics and Pricing ManagerRole and ResponsibilitiesThe Data Analytics & Pricing Manager is responsible for various analytical data needs of the Liviniti including the customer pricing function. Handle complex data projects and manages other Data Analysts. Establish pricing appropriate for various customer prospects. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting. Communicate with internal staff and external customers/partners to create reports and troubleshoot reporting discrepancies. Work with partners to establish data interchange, monitor SQL jobs and troubleshoot automation errors.

• Direct contact with external personnel to implement file formats, requirements and automation schedules.
• Detailed analysis of healthcare and member data to look for discrepancies and provide information back to staff.
• Monitoring and maintenance of automated process.
• Establish and maintain the customer pricing process; balance risks and returns at a client level and/or group level, as appropriate.
• Develop a culture of continuous improvement across people, processes, and systems.
• Develop and manage talent: Identify the skills and performance criteria necessary for Data Analytics team member success and manage staff to meet and exceed these standards. In coordination with the Chief Product Officer, assist in creating career-building development plans for staff. Coach and mentor team members by observing and providing feedback in order to foster development and success of individuals.
• Establishes departmental goals for service delivery measured through key performance indicators (KPI's).
• Evaluates team's performance against the KPI's and intervenes with management direction to assist the Data Analytics team meet and exceed goals.
• Abide by all obligations under HIPAA related to Protected Health Information (PHI).
• If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.
• Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
• Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.Role and ResponsibilitiesOur benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.
  • Medical, Dental, Vision Insurance
  • Disability and Life Insurance
  • Employee Assistance Program
  • Remote work options
  • Generous Paid-Time Off
  • Annual Reviews and Development Plans
  • Retirement Plan with company match immediately 100% vestedRequired Skills and Competencies
    • Requires experience and proven analytical skills in Excel Spreadsheets.
    • Prefer experience in healthcare, PBM, workers' compensation, and/or insurance industry.
    • Strong communication skills.
    • Understanding of TSQL.
    • Experience with SQL 2008 or above.
    • SSIS, SSRS.
    • Problem Solving/Analysis.
    • Technical Capacity.
    • Thoroughness.
    • Time Management.
      Supervisory ResponsibilityThere are some supervisory responsibilities with this position. May have direct reports and performance management responsibilities.Position Type and Expected Hours of Work
      • Full-time/Salaried/Exempt.
      • Some flexibility in hours is allowed, but the employee must be available during the "core" work hours of 8:00AM to 5:00PM CT. We cover clients from West to East Coast, work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends and holidays pursuant with industry demands.TravelSome travel expected for this position. Required Education and Experience
        • Bachelor's degree plus one to three years related experience and/or training; or equivalent combination of education and experience.
          
          Liviniti, LLC and all entities provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Liviniti expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D
          
          
          
          
          PI406ec0495753-37248-37283780

Keywords: Southern Scripts, Minneapolis , PBM Pricing Manager, Executive , Minneapolis, Minnesota