Senior Advisor, Pricing Consultation - Express Scripts - Hybrid

Job Description

Senior Advisor - Commercial Pricing Strategy - Health Plan Division

POSITION SUMMARY

Looking for a talented, confident individual with extensive PBM pricing expertise, an ability to drive change, grow their career, and a competitive desire to win business for our Health Plan clients.

The Express Scripts Health Plan Growth Team is dedicated to partnering with our Health Plans to Win, Retain, and Grow pharmacy lives in their markets by being change agents and eliminating hurdles to ensure maximization of the PBM benefit offering, to grow their business and offer cutting edge pharmacy pricing arrangements to the plans they serve.

The Health Plan Growth Senior Advisor is a vital part of a team tasked with building all aspects of employer group pricing strategy for our Health Plan partners.

The Senior Advisor will be a key leader serving as a PBM pricing expert for our health plan clients at a variety of organizational levels, including within the C-Suite.

This role requires constant surveillance and rapid understanding of pricing trends in the employer space, as well as the broader landscape including legislative impacts, new market entrants and the evolution of legacy PBMs.

The Senior Advisor will work closely with various internal teams such as Underwriting, Actuary, Operations and Legal to build and oversee complex pricing arrangements at the employer group level for a wide variety of clients.

If you want a growth opportunity and have what it takes to thoughtfully engage with clients, go deep on strategy, and develop novel pricing analytic and data tools, this role is for you.

ESSENTIAL FUNCTIONS

PBM Pricing Consultation


* Serve as PBM Pricing strategy expert for health plan clients, specifically focused in the ASO-Commercial space, interacting regularly with client leadership, as well as all levels of our internal organization


* Provide ongoing consultation in the following areas to our Health Plan clients:
+ New business pricing strategy
+ Existing client retention strategies and best practices
+ Consultant feedback loops and interaction roadmaps
+ Competitive intelligence, including evaluation of market dynamics
+ Pricing optics & bid analysis
+ PBM Contracting and RFP response best practice approaches
+ Various ongoing training activities with our clients


* Being a thought leader within the Health Plan Growth team, empowering our broader team of with a variety of strategic pricing insights


* A willingness to proactively engage with internal and external Underwriting, Sales, Operations and Finance partners to ensure strategic alignment and maximization of financial performance


* Ability to understand new PBM products, programs and legislative impacts quickly, and confidently explain the value, risk or opportunity to all stakeholders

QUALIFICATIONS


* Must have 7+ years of PBM Pricing/Underwriting or Consulting experienc...