Senior Director, Strategic Pricing

The Senior Director, Strategic Pricing is a critical enterprise leader responsible for developing the pricing vision and architecture across all PBM offerings. This ensures RxBenefits maintains competitive market positioning while delivering sustainable margin performance, optimized guarantee structures, and predictable EBITDA outcomes. The Senior Director contributes to enterprise pricing strategy, complex deal design, actuarial and predictive modeling oversight, and cross-functional alignment to support profitable growth and operational excellence. This role requires a unique blend of PBM economic expertise, financial acumen, risk management discipline, and the ability to influence and align senior leaders across the business. _Essential Job Responsibilities:_ Enterprise Pricing Strategy & Financial Leadership + Establish and continuously refine the enterprise pricing strategy across all PBM products and services to ensure competitiveness, sustainability, and EBITDA protection. + Oversee actuarial team to evaluate offers and assess pricing risk, balancing client value, financial objectives, and enterprise risk tolerance. + Oversee pricing guardrails, margin modeling, guarantee structures, actuarial methodologies, forecasting assumptions, and deal-level P&L accuracy. + Drive market-differentiating pricing constructs (e.g., True Cost, cost-plus models, 100% pass-through rebates, value-based frameworks). + Improve client-level profitability via standardized pricing architecture, predictive analytics, and alignment with clinical rules engines and formulary strategies. Pricing Governance & Process Discipline + Participate in the the enterprise pricing process through a formal pricing committee (deal desk), ensuring governance rigor, documented decisions, and defined accountability. + Create pricing standards, exception management policies, and risk thresholds that ensure consistency and protect financial outcomes. + Reduce pricing variability and accelerate quote turnaround time by improving model standardization, automation, and documentation. + Collaborate with Corporate Analytics and Technology to enhance pricing tools, data pipelines, documentation, and governance dashboards. + Oversee a team that ensures data integrity and pricing tool optimization Market Intelligence & Competitive Positioning + Maintain deep, current expertise in PBM industry pricing trends, competitive landscape, drug mix shifts, specialty cost inflation, manufacturer contract dynamics, and network economics. + Continuously review marketplace benchmarks (AWP, WAC, NADAC) and competitive guarantee constructs to inform pricing strategy and product positioning. Cross-Functional Collaboration & Alignment + Partner closely with Clinical, PBM Relations, Sales, Account Management, Finance, IT, and Product to ensure pricing reflects operational realities, clinical strategy, and market dynamics. Leadership & Organizational Development + Build, lead, and scale a high-performing organization with expertise in actuarial modeling, analytics, market strategy, and data analysis. + Foster a culture of accountability, analytical rigor, innovation, and cross-functional partnership. + Develop talent through structured coaching, succession planning, skill-building, and leadership development. + Model an enterprise-first mindset and help drive clarity, transparency, and alignment across teams. _Required Experience & Qualifications:_ + 10+ years of progressive leadership experience in PBM pricing, actuarial science, healthcare analytics, strategy, or financial modeling; PBM experience strongly preferred. + Deep subject-matter expertise in PBM economics, including rebates, clinical/utilization dynamics, network pricing, formulary strategy, cost-of-goods, specialty drug economics, and guarantee frameworks. + Demonstrated success leading enterprise-specific pricing strategy, governance, and complex, high-stakes negotiations for large client segments. + Strong cross-functional influence skills with the proven ability to drive alignment across Clinical, Sales, Finance, AM, Product, and Executive Leadership. + Exceptional strategic, analytical, and financial modeling capabilities; comfortable operating with ambiguity and simplifying complex issues into actionable strategies. + Experience building and scaling high-performing pricing or actuarial organizations; strong leadership presence with a coaching-oriented mindset. + Highly collaborative and able to create trusted, long-term partnerships with internal and external stakeholders. + Strong planning, prioritization, and business-acumen capabilities; adept at managing competing priorities in a dynamic, fast-moving environment. + Executive presence with the ability to confidently present recommendations, challenge assumptions, engage in productive debate, and influence decisions at the highest levels. _Preferred Qualifications:_ + Masteru2019s degree in Finance, Healthcare Administration, Actuarial Science, or related field. + Prior leadership experience within a major PBM, health plan, specialty pharmacy, or healthcare analytics firm. + Experience with SQL, actuarial tools, or advanced analytics platforms (e.g., SAS, R, Python, Tableau) to enhance pricing insights. + Knowledge of medical + pharmacy integration, value-based reimbursement models, or outcomes-based contracting.RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.

Created: 2026-02-12