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Requirements and responsibilities
OverviewThe Senior Director, Pharmacy Analytics and Strategy is responsible for pharmacy pricing oversight of Maximum Allowable Cost(MAC) as well as the execution, implementation, and optimization of current, new, and future network / pricing innovation. Responsible for network compliance including network performance guarantee reporting and pricing strategy as well as the execution, implementation, and optimization of current, new, and future network / pricing innovation. Will lead complex financial modeling and process development to create business insight, quality assurance, and execution to achieve departmental goals. Will lead complex financial modeling and process development to create business insight, quality assurance, and execution to achieve departmental goals. In partnership with other team leaders and members, develop reimbursement strategy, execute on network pricing, create standard and customized pharmacy network reports, and manage client / pharmacy analytics. Oversee NetOptimizer consulting opportunities that drive insights and cost-savings to clients. Develop capabilities specifically targeted to achieve the efficient and effective application of the company’s products and services toward the achievement of total cost savings and improved health outcomes for the company’s clients and their members.Who We AreVytlOne 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.This is a remote-based position within the Continental US.ResponsibilitiesDevelop business, industry, competitive, client, and technical knowledge to formulate pricing strategy, and to execute financial modeling of comprehensive pricing strategiesConsult with internal leaders and departments to coordinate relevant cross functional activities in support of network performance management efforts to maximize the organization’s competitive positionSupport GHP NetOptimizer consulting opportunities related to MAC / Network pricing including, but not limited to:generating financial models to reprice claims and calculate MAC pricingnetwork lease opportunitiesdata blending with reporting outcomes / complianceprovide insights on proposalsassist in implementation strategiesEvaluate, track, and monitor pharmacy contracted network pricing terms and provide recommendations on pharmacy contract termsExecute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offersProvide MAC Management support as needed including but not limited to, Pharmacy / Client Custom MAC evaluation and strategic recommendations to adhere to any applicable contracted Pharmacy GER reconciliationDevelop and maintain ongoing analytics and processes for Brand Effective ManagementManage client contract network guarantees to ensure accuracy and eliminate liability payments to clientsSupport additional consulting efforts where clients require custom pricing/network managementCollaborate with the Underwriting team to provide recommendations on pricing / networks offerings and negotiation strategy to achieve revenue, profitability targets, and margin retention, for new and existing customersProvide consultative services to internal support teams for processes improvementsManage supporting analysts in all tasks aforementioned and provide continuous training where neededProactive identification and closure of network gaps as well as development of performance reportsQualificationsEducation: Bachelor's degreeExperience: Experience in Analytics including large data sets, MAC modeling, pharmacy / client Network management & reporting and process automationKnowledge, Skills and Abilities:Excellent management and planning skills, detail oriented.Strong analytical and problem solving skills.Ability to organize and manage multiple priority tasks simultaneously.Proven and demonstrated project management skills, directing project activities to a cross-functional team.Problem solving ability in unstructured situations.Ability to lead effective meetings, accomplish goals and meet timelines.Ability to work well in cross-functional situations, giving clear direction and partnering with other internal departments to reach common goals.Ability to manage, mentor, and develop team members with expertise on MAC / Network pricing and the adjudication systems with particular emphasis on developing processes that are both accurate and efficient.Experience influencing change and adoption of new analytic capabilities to support pricing financial analytics.Experienced user of two or more of the following: SQL, SAS, Alteryx, Tableau, Power BI, R, or Python technologies.Pay range and compensation packageThe anticipated base salary range for this position is $175,000 - $220,000. Actual compensation will be determined based on experience, qualifications and other job-related factors. This range reflects our good-faith estimate of what we expect to pay for this role at the time of posting.WE OFFERAt 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 outcomesEnjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:Comprehensive mental health and wellbeing resourcesNationwide 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 premiumsCompany-paid basic life/AD&D, short-term and long-term disability insuranceRx, dental, vision, other voluntary benefits, and FSAEmployer-matched 401k PlanIndustry-leading PTO planAnd more!Join us and help build the future of pharmacy care – better outcomes, stronger margins, and healthier communities.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)