Rxsense
Manager of Pricing
Remote - US. Posted 11 days ago
The role
The Manager of Pricing leads pricing administration for Enterprise clients and pharmacy partners with a focus on MAC management. This person owns MAC list creation, monitors pricing performance against guarantees, and leads the pricing team.
What you will do
- Own MAC management for the Enterprise book including creating and maintaining MAC lists.
- Manage MAC factor and multiplier adjustments across clients.
- Monitor client and pharmacy pricing performance against contractual guarantees.
- Build and administer pricing for new and renewing clients.
- Resolve MAC pricing escalations, appeals, and complex pricing tickets.
- Review client and pharmacy contract terms for pricing implications.
- Support quarterly and annual reconciliation of client and pharmacy contracts.
- Prioritize the inbound flow of pricing requests.
- Partner with Network Operations, Clinical, and Underwriting on pricing decisions.
- Lead, coach, and develop the pricing team.
Required qualifications
- Hands-on experience owning MAC management in a PBM or pharmacy setting.
- Bachelor’s degree in finance, Business, Economics, or a related field.
- 5 + years of PBM or retail pharmacy pricing experience, including direct MAC management.
- At least two years in a supervisory or lead capacity.
- Working knowledge of PBM pricing economics, including client and pharmacy contract terms, pricing guarantees, and reconciliation.
- Experience monitoring pricing performance against guarantees and turning variance into corrective pricing actions.
- Experience setting up pricing for client implementations and renewals on tight timelines.
- Ability to explain pricing clearly to non-technical partners.
- Experience leading, coaching, or mentoring analysts and building documented, repeatable processes.
- Advanced Excel skills.
Nice to have
- SQL, Tableau, or other BI tools experience
- Experience adopting automated or AI-enabled pricing tools as a business owner
- Experience in a high-growth healthcare technology company
About the company
RxSense is a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy benefits.