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Analyst, Pharmacy Financial Performance

Capital Rx

Capital Rx

IT, Accounting & Finance
New York, NY, USA · Remote
USD 70k-80k / year
Posted 6+ months ago

Department

Job Title

Capital Rx is redefining the way prescriptions are priced and administered in the U.S. Capital Rx unlocks the pharmacy supply chain and reduces prescription costs for employer groups. By establishing a competitive marketplace for drug pricing, Capital Rx focuses its resources on deploying actionable strategies that improve plan performance and patient outcomes. The company's commitment to innovation, technology, and service is why Capital Rx is the fastest-growing pharmacy benefit manager in America.

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Finance

Analyst, Pharmacy Financial Performance

Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

Position Responsibilities:

  • Lead monitoring of pharmacy pricing to ensure regulatory and contractual compliance
  • Develop data models and data visualizations to support analysis and resolution of any pricing variances
  • Ensure claim adjudication accuracy, including coordination with other business functions to investigate and resolve any discrepancies
  • Collaborate with other business functions to design, refine, and maintain internal pricing, modeling, analytics, and reporting SOPs
  • Support general business needs, as required
  • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Required Qualifications:

  • Undergraduate bachelor’s degree, with record of strong academic performance in Accounting, Finance, Actuarial Science, Statistics, Economics, Mathematics, or Business Administration
  • 1+ years of experience developing data visualizations using Tableau, Power BI, or similar data visualization tools
  • 1+ years of experience developing data models using SQL; dbt experience highly preferred but not required
  • Experience working with structured and unstructured data
  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
  • Strong attention to detail with an intellectual and professional curiosity
  • Ability to balance multiple complex projects simultaneously
  • Exceptional written and verbal communication skills
  • Extremely flexible, highly organized, and able to shift priorities easily

Base Salary: $70,000 - $80,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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