ABOUT THE ROLE:
The Senior Analyst, Rebates plays a critical role in driving data-informed strategies within the organization. This role is responsible for performing analytics on pharmacy claims data, interpreting rebate trends, and evaluating client-level rebate performance to support strategic decision-making. The analyst will work cross-functionally with departments such as Clinical, Underwriting, Account Management, and Operations to deliver actionable insights and ensure effective, cost-efficient pharmacy benefit services.
WHAT YOU’LL DO:
- Establish, maintain and support automated systems and processes.
- Analyze pharmacy claims data to identify trends, cost drivers, and opportunities for savings or program improvement.
- Generate standard and ad-hoc reports for internal teams, clients, and external partners.
- Stay informed on industry trends, regulatory changes, and PBM best practices.
- Analyze pharmacy claims data to identify and interpret trends in manufacturer rebates and their impact on plan performance.
- Evaluate rebate guarantees and performance for clients, providing insights into drivers of variances and opportunities for optimization.
- Monitor drug utilization and formulary compliance to assess rebate maximization strategies.
- Develop reports to communicate rebate performance metrics to internal stakeholders and leadership.
- Support underwriting and client pricing teams with rebate modeling and forecasting for client renewals and new business proposals.
- Partner with Clinical and Formulary teams to evaluate the rebate impact of formulary changes and drug pipeline trends.
- Collaborate with Account Management and Client Services to address client inquiries and support business reviews.
- Contribute to rebate audit support and internal control documentation as needed.
- Identify process improvement opportunities and support automation of reporting workflows
WHO YOU ARE:
- Bachelor’s degree in business, mathematical, statistical, financial, or applied science discipline strongly preferred; proven industry experience will be acceptable in lieu of degree.
- Minimum 2 to 5 years’ relevant rebate or finance experience, preferably with a PBM.
- Financial and statistical reporting knowledge and experience.
- Effective verbal and written communication skills.
- A decisive individual who possesses a detail-oriented perspective.
- A strategic planner with sound technical skills, analytical ability, good judgment and strong operational focus.
- Ability to work with peers in a team effort.
- Demonstrated ability to manage multiple priorities and deadlines
- Capability to efficiently complete tasks in a fast-paced environment
EXTRA CREDIT:
- A knowledgeable individual with appropriate industry experience, preferably in the healthcare, insurance or PBM industry.
- Proficient in Microsoft Office and industry related software programs
- SQL or Python programming knowledge and experience
SALARY (BEFORE COMMISSION POTENTIAL): $80,000 - $110,000
Offer amounts for both remote and in office roles are influenced by geographic location.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, firstOur humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possibleWe always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commitWe believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate gritChanging healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delightHealthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is a healthcare company looking to improve healthcare outcomes for everyone, everywhere. With that in mind, we have to consider what is good for the health of our team, the company, and the communities we operate in. As such, Rightway has determined a mandatory COVID-19 vaccination policy for all employees, in combination with other safety precautions, is the best way forward.
Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.