Pbm Implementation Jobs in Oregon (NOW HIRING)

The primary role of the Manager of Pricing and Underwriting is to lead the organization's pricing and underwriting team members: Senior Pricing Analyst, Pricing and Underwriting and Pricing Analyst, Pricing and Underwriting. Responsibilities include assisting in the creation and implementation of pricing and underwriting policies and procedures, development and enhancement of analytical tools and methodologies, supporting engagement with clients, consultants, and brokers, and supporting market leading pricing and underwriting strategies.

Position Location

This is a remote-based position within the Continental US.

Who We Are

VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve.

Why Choose a Career at VytlOne?

At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive.

Position Location

This is a remote-based position within the Continental US.

• Work in partnership with Networks, Rebates, Sales Operations, and Account Management to win and retain clients through demonstrating Maxor's value proposition
• Support the development of PBM financial offerings including the pricing for retail network, mail order, specialty, formulary rebate, and ancillary prices
• Provide support with all Requests for Proposal requirements and positioning
• Prepare financial models based on knowledge of customer needs, costs and financial goals
• Analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
• Utilize economic, financial, and industry data to accurately diagnose business strengths and weaknesses by channel, as well as able to analyze and act on threats and business opportunities
• Support the development of financial models and present deals in Executive Committee  meetings
• Execute the corporate contracting strategy as determined by established policies
• Analyze, manipulate, and draw relevant conclusions based on research of the market, customer demands and Maxor's bottom line
• Coordinate activities necessary to put together pricing strategy for outside customers
• Prepare financial pricing models to offer attractive deals to customers while ensuring Maxor's ongoing financial success
• Partner with Account Management to conduct analyses of performance of existing contracts
• Ensure contract execution is consistent with contract terms and monitor consistency of contract terms across various customers
• Present information in a meaningful and relevant manner to VytlOne executives, potential customers, etc.
• Must be able to cope with the mental and emotional stress of the position
• Ensure staff is informed of product upgrades or enhancements in a timely manner
• Develop and mentor departmental staff by providing career coaching; motivate departmental staff, individually and as a group; understand and support diversity; and establish an effective team
• Support initial and annual performance evaluations
• Promote teamwork; discipline staff when warranted
• Promptly report any allegations of impropriety to the Compliance Department
• Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
• Complete required training, as assigned, within the established timeframes
• Maintain regular attendance in accordance with established policies
• Perform other job-related duties as assigned

Education:               

• Bachelor's degree in Finance or other critical thinking major; advanced business degree (MBA) CPA preferred

 Experience:                           

• Experience in PBM or Health Plan
• Experience leading and managing critical strategic projects
• Experience managing pricing processes that involve cross-functional partners
• Experience working with various levels of the organization including leadership, peers, and junior team members
• Experience developing financial models
• Experience performing competitive analysis to understand market position
• Experience supporting business decisions with business cases presentations
• Expertise building models in Excel and other platforms
• Experience developing presentations to present business cases to senior executives
• Experience with statistical and/or predictive analysis
• Experience working with multiple data sources

Knowledge, Skills, and Abilities:

• Proven ability to interpret and manage contracting legal language and terms
• Demonstrated ability to coach, develop, and mentor a team of direct reports
• Strong financial acumen and analytical skills, with the ability to translate insights into business impacts and actionable next steps
• Able to effectively manage competing priorities with strong sense of urgency
• Able to effectively shift priorities of reports to solve immediate business issues
• Developing knowledge of payor, pharmacy, retail, GPOs and the contracting process within those organizations
• Possess an in depth understanding of the various Legal and Compliance implications within PBM in order to ensure risk mitigation
• Ability to effectively communicate and influence cross-functional stakeholders on complex business proposals and to accurately interpret business considerations and impacts
• Advanced Microsoft Excel skills
• Understanding of the legal/regulatory environment
• Strong written and verbal communication skills
• Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
• Proven teamwork and collaboration skills with a demonstrated track record leading highly matrixed, cross-functional work teams comprised of analysts, sales persons, and account managers
• Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners (e.g. peers, functional partners, external vendors and alliance partners) typically mid management
• Ability to use analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
• Strong understanding of the PBM market, supply chain management and financial modeling.

WE OFFER

At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment.

• • You'll work with a mission-driven organization focused on improving healthcare outcomes
  • Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:
  • Comprehensive mental health and wellbeing resources
  • Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
  • Company-paid basic life/AD&D, short-term and long-term disability insurance
  • Rx, dental, vision, other voluntary benefits, and FSA
  • Employer-matched 401k Plan
  • Industry-leading PTO plan
  • And more!

Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities.

FOR MORE INFORMATION:

VytlOne Website VytlOne LinkedIn

VytlOne (formerly Maxor) is an EOE, including disability/vets