Sr Analyst, Pharmacy Network

Rightway Healthcare, Inc.

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• Rightway Healthcare is seeking a highly analytical and detail-oriented Senior Analyst to join our dynamic Pharmacy Network team. This pivotal role will serve as a key partner to Pharmacy Network Directors and Managers, empowering them with data-driven insights to inform strategic decision-making. You will be instrumental in optimizing our pharmacy partnerships, ensuring rigorous compliance with all regulatory requirements, and accurately quantifying the financial performance of our extensive network contracts. Your expertise will directly contribute to the financial health and operational efficiency of Rightway's pharmacy network.
• In this role, you will collaborate closely with Pharmacy Network leadership to develop, maintain, and refine sophisticated analytical models. These models will be crucial for shaping network strategy, guiding pricing decisions, and supporting complex contract negotiations with our pharmacy partners. Your ability to translate intricate financial data into clear, actionable recommendations will be essential for driving successful outcomes.
• A significant aspect of your responsibility will involve managing all regulatory reporting requirements for the pharmacy network. This includes ensuring the utmost accuracy, adherence to strict timelines, and full compliance across all submitted pharmacy network documentation. Maintaining this high standard of reporting is critical for our operational integrity and legal standing.
• You will be tasked with meticulously analyzing and quantifying the contractual financial performance of our agreements with pharmacy partners. This involves identifying key trends, uncovering opportunities for cost savings or revenue enhancement, and pinpointing areas within contracts that require optimization. Your insights will help ensure that our partnerships are mutually beneficial and financially sound.
• A core function of this position is to oversee and manage the impacts of MAC (Maximum Allowable Cost) pricing and NADAC (National Average Drug Acquisition Cost) data. You will continuously monitor pricing changes in the market and assess their influence on network economics, including potential impacts on guarantees and overall profitability. This requires a keen understanding of pharmaceutical pricing dynamics.
• You will conduct in-depth pricing modeling and scenario analysis to thoroughly evaluate the financial implications of proposed network changes, contract modifications, and evolving market dynamics. This proactive approach allows us to anticipate challenges and capitalize on opportunities, ensuring our network remains competitive and cost-effective.
• A vital part of your role will be to respond to a wide range of internal and external inquiries. These inquiries will pertain to pharmacy network performance, intricate pricing structures, and specific contractual terms. Your ability to provide clear, concise, and data-driven insights will be crucial for maintaining strong relationships with stakeholders and ensuring transparency.
• You will be responsible for building and implementing scalable analytical frameworks and robust reporting tools. These tools will empower the Pharmacy Network team with the necessary resources to make informed, strategic decisions efficiently and effectively. The goal is to create a self-service environment where data is readily accessible and understandable.
• Cross-functional collaboration is key to success in this role. You will work closely with teams across Finance, Client Cost of Goods Sold (COGS), and Operations to ensure seamless alignment on pharmacy economics and the overall financial performance of our clients. This collaborative effort ensures a holistic view of our business operations.
• Finally, you will be encouraged to identify opportunities for process improvements and automation within pharmacy network analytics and reporting. Enhancing efficiency and accuracy through innovative solutions will be a continuous objective, allowing the team to focus on higher-value strategic initiatives.

🎯 Requirements

• Bachelor's degree in Finance, Economics, Healthcare Administration, or a related analytical field, or equivalent practical experience.
• 4+ years of progressive experience in healthcare analytics, pharmacy benefit management (PBM), financial analysis, or a closely related domain, with a proven track record of delivering impactful insights.
• Advanced proficiency in Microsoft Excel or Google Sheets, including complex formulas, pivot tables, and data manipulation. Experience with SQL or other programming languages for data analysis is a significant plus.
• Strong understanding of financial modeling, pricing strategies, and quantitative analysis, with the ability to translate complex data into clear, actionable recommendations for diverse audiences.

🏖️ Benefits

• Competitive salary range of $90,000 - $120,000, commensurate with experience and geographic location.
• Comprehensive health, dental, and vision insurance plans to support your well-being.
• Generous paid time off (PTO) and holidays to ensure work-life balance.
• Opportunities for professional development and career advancement within a rapidly growing healthcare technology company.

Skills & Technologies

Python

Senior

Remote

$90k-120k

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Rightway Healthcare, Inc.

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About Rightway Healthcare, Inc.

Rightway Healthcare provides a healthcare navigation and pharmacy benefit platform that combines clinical guidance with transparent pricing to lower employer healthcare costs. Its mobile and web tools connect members to dedicated clinicians and pharmacists who steer them to high-value providers, optimize prescriptions, and resolve claims issues. The company integrates with existing health plans, replacing traditional PBMs and navigation vendors. Founded in 2017, Rightway serves self-insured employers and health plans across the United States, aiming to improve outcomes and reduce spending through data-driven, human-led care navigation.

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