Associate Director of Drug Pricing

Job Summary

To support the Network Pricing team, the full-time salaried Associate Director of Drug Pricing will manage drug pricing accuracy and claims adjudication outcomes, develop financial models, and ensure compliance with regulatory requirements while working remotely from anywhere in the U.S.

Key responsibilities

• Own end-to-end accountability for prescription drug pricing accuracy and claims adjudication outcomes
• Develop and maintain financial models to support drug pricing strategy and performance analysis
• Identify, research, and resolve claims pricing discrepancies and ensure adherence to regulatory requirements

Required qualifications

• 7+ years of experience in pharmaceutical pricing, claims adjudication, healthcare financial modeling, or PBM operations
• Solid analytical skills with experience building and validating financial models and audit controls
• Proven ability to interpret contracts and reimbursement methodologies
• Understanding of end-to-end claims workflows and diagnosing anomalies across pricing and configuration