Pharmacy Pricing and Market Solutions Advisor

Overview

Hybrid within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Pricing and Market Solution Advisors are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Pricing and Market Solutions Advisor is responsible for delivering on critical plan initiatives focused on customer growth, retention, and revenue. This includes optimization of pricing strategies, deep understanding of end-to-end assumptions and refinement of data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM).

This role will work with internal and PBM cross-functional team members including Actuarial, Underwriting, Pharmacy Informatics, and Sales to understand competitive market financials, cultivate and design pricing strategies, and support implementation of solutions that deliver value to customers and the organization. May act as a subject matter expert by engaging in direct market facing conversations with customers and/or their producers/agents to explain pricing and related terms, describe the total value of pricing proposals, or address technical questions – all in service of creating an economically sustainable health care system.

Do you have the analytical depth to optimize pricing models while understanding their real-world impact on patients and providers? Can you see beyond spreadsheets to the bigger picture of making health care more accessible and economically viable? Then this role may be the perfect fit.

What You Bring to Cambia:

• Bachelor's degree in Finance or related field
• 8+ years of experience with a Pharmacy Benefits Manager (PBM), underwriting, financial, reporting, pricing, rebates, and business data analysis or an equivalent combination of education and experience.

• Demonstrated detailed knowledge of PBM pricing and concepts
• Proficiency and understanding of health plan and PBM underwriting processes and healthcare products
• Demonstrated high level of proficiency in Microsoft Office (Word, Excel, PowerPoint)
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings
• Excellent business analysis, problem solving and analytical skills
• Strong oral, written and interpersonal communications skills as well as proficiency in presentation development and delivery
• Demonstrated high level of attention to detail and quality

• Conduct market research to help inform corporate pharmacy pricing strategies and market solutions across line of business.
• Lead quantitative and qualitative analysis, with the highest level of attention to detail
• Works with cross-functional team members and business partners to develop pharmacy pricing standards, assumptions and strategies.
• Deliver compelling business cases to drive concepts through ideation to approval to execution
• Act as a trusted advisor to Sales and other stakeholders to inform devise individual customer retention strategies and renewal quotes
• As needed, participate in calls with producers and employer groups to explain pricing
• Provide ad hoc training on pharmacy pricing concepts

The expected hiring range for a Pharmacy Pricing and Market Solutions Advisor is $101,200 - $136,900 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $95,000 - $155,000.

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

At Cambia, You Can

• Work alongside…