PBM PRICING

PBM PRICING – Senior Analyst

Location : RxBenefits - Hyderabad, India (Hybrid Model)

Reports To : Operations Director (India) & Pricing Director (USA)

Position Overview

This role supports the delivery of competitive PBM financial analytics and contributes to

strategic decision-making that drives sales success, client retention, and operational excellence.

The Pricing Analyst will work closely with the core US based Pricing team to ensure high-

quality, timely deliverables individually while mentoring and guiding junior team members in

India GCC (whenever required). This position requires strong ownership, stakeholder

management, communication skills, to work independently, collaboratively across two

countries’ time zones.

Essential Job Responsibilities Include :

 Analyze complex claims data sets to complete pricing exercises and data requests,

including claims summaries, pricing terms, exclusions, benefit design changes.

 Perform Straight Reprice, MMA (Medical / Market Management Analysis), and

Custom Data projects as part of pricing and client deliverables.

 Apply accurate pricing and rebate terms for each account, understanding the

implications across PBM options such as formulary, retail and specialty networks,

maintenance and clinical program selections, fees, plan tier structures, member size,

utilization, and regulatory impacts.

 Utilize Formulary Tools, Lockton data, and other benchmarking sources to assess

formulary impact, disruption, and rebate performance.

 Interpret client contractual documents to verify applicable pricing and rebate terms.

 Provide claims files and develop client-ready deliverables and clear communication

summaries upon request.

 Generate formulary and network disruption reports, as well as other ad hoc or

recurring reports aligned to business needs.

 Demonstrate strong ownership of assigned projects, ensuring accurate, timely, and

complete deliverables that meet or exceed stakeholder expectations.

 Maintain proactive and prompt communication with stakeholders, keeping all parties

informed of progress, issues, and resolutions.

 Participate in and prepare for stakeholder and client calls as a Pricing Subject Matter

Expert (SME), clearly communicating technical details in a concise and professional

manner.

 Maintain and enhance standard pricing methodologies, templates, trackers, and

documentation to support process efficiency and consistency.

 Mentor and guide junior team members in India GCC, promoting learning,

consistency, and alignment with US team practices.

 Collaborate closely with the US core team to align methodologies, ensure deliverable

quality, and maintain consistent pricing and analytics standards across locations.

Required Skills / Experience :

 7+ years of PBM or healthcare industry experience required (Commercial PBM

experience preferred).

 Proven expertise in PBM pricing, MMA, straight reprice, custom data analysis, and

formulary / rebate modeling.

 Familiarity with Lockton data, formulary tools, and PBM financial models preferred.

 Strong analytical, pricing, and modeling experience with advanced proficiency in MS

Excel (pivot tables, lookups, macros); SAS / SQL, Salesforce experience preferred.

 Excellent communication, stakeholder management, and presentation skills, with

the ability to explain technical concepts clearly.

 Process-oriented with strong attention to detail and ability to meet deadlines in a

dynamic, fast-paced environment.

 Self-driven professional who takes ownership, manages multiple priorities effectively

 Bachelor’s degree in Pharmacy or a related field from an accredited institution

preferred.

 Exposure to US healthcare, pharmacy benefits, and drug pricing landscape will be

a strong plus.