Pharmacy Pricing and Market Solutions Advisor

Pharmacy Pricing and Market Solutions Advisor

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.

Who We Are Looking For:
Cambia’s dedicated team of Pricing and Market Solution Advisors are focused on delivering on critical plan initiatives that drive customer growth, retention, and revenue. As a member of the Pharmacy Services team, the Pharmacy Pricing and Market Solutions Advisor is responsible for optimizing pricing strategies and refining data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager (PBM). This role collaborates with cross-functional teams including Actuarial, Underwriting, Pharmacy Informatics, and Sales to understand competitive market financials, design pricing strategies, and support implementation of solutions that deliver value to customers and the organization.

The role may engage in direct market-facing conversations to explain pricing and related terms and address technical questions, 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? If you see beyond spreadsheets to the bigger picture of making health care more accessible and economically viable, this role may be the perfect fit.

Qualifications:

• 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.

Skills and Attributes:

• 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 inform corporate pharmacy pricing strategies and market solutions across line of business.

• Lead quantitative and qualitative analysis with a high level of attention to detail.

• Work 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.

#LI-Hybrid

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 among the best in the industry, innovating toward sustainable, person-focused health care. We value empathy, teamwork, and community involvement.

At Cambia, you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Participate in Cambia-supported outreach programs and give back to the community.
• Connect with colleagues who share similar interests and backgrounds.

We offer a…