Analytic Lead, Client Performance & MAC Management at LucyRx

Bethesda, Maryland, United States -

Full Time

Start Date

Immediate

Expiry Date

01 May, 26

Salary

0.0

Posted On

31 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis Models, Client Audits, MAC Management, Profit Optimization, Pricing Strategies, Risk Management, Contractual Compliance, Stakeholder Collaboration, Financial Modeling, Analytical Software Proficiency, SQL, Excel, BI Tools, Strategic Thinking, Profitability Improvement, Industry Trend Analysis

Industry

Hospitals and Health Care

Description

Description This is a remote position; however, you should expect to travel for team meetings, client meetings or other collaboration needs. Summary The Analytic Lead, Client Performance & MAC Management is responsible for building and supporting processes pertaining to the performance of Client contracts, Client Audit and MAC Management. This role involves supporting the implementation, and refinement of strategies that ensure compliance to contractual obligations while maintaining profitability for the organization. The position requires a deep understanding of data analysis and risk management. Role and Responsibilities Develop data analysis models and processes to support Client Audits, MAC Management, and profit optimization. Implement pricing strategies to manage and maximize risk/profitability Develop and implement guidelines and procedures to ensure consistency and accuracy. Collaborate with management to develop long-term strategies to align with contractual obligations while driving value across the organization. Identify opportunities for innovation. Drive initiatives to improve profitability and competitive positioning. Work closely with internal stakeholders, including Finance, Operations, Supply Chain and Account Management to ensure alignment on contractual obligations and profit strategies. Communicate findings and recommendations to leadership and other key stakeholders. Leverage advanced technology and data analytics tools to enhance processes and analytical capabilities. Stay updated with industry trends and technological advancements to continuously improve practices. Requirements Qualifications and Education Requirements Bachelor’s degree in a quantitative field (e.g. Statistics, Math, Economics, Data Mining/Science) Minimum of 5 years of experience in MAC Management, Client Audit, Client Reconciliation, or a related field within the healthcare or insurance industry Ability to work independently as well as in a team environment. Proven experience in data analysis and financial modeling. Excellent communication and interpersonal skills. Proficiency in analytical software and tools (e.g., SQL, Excel, BI tools). Ability to think strategically and drive results in a fast-paced environment Preferences: Strong knowledge of pharmacy benefit management and the pharmaceutical industry Master’s preferred or equivalent experience Professional credentials or qualifications Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operating other standard office equipment, such as printer, copier, phone. Travel may be required by either car or airplane, or a combination of multiple modes of transportation. LucyRx is an independent, next-generation pharmacy benefit manager (PBM) redefining prescription care. Fueled by innovation and decades of leadership experience, LucyRx delivers better outcomes through its integrated specialty network, formulary marketplace, and next-day home delivery solutions. Powered by its proprietary AI platform, LucyIQ™, the company provides real-time insights that support evidence-based clinical decisions, clear pricing, and exceptional service from U.S.-based pharmacy technicians. Partnering with more than 60,000 pharmacies, LucyRx serves over 1,200 clients nationwide. We offer competitive pay and benefits, and are open to discussing compensation that reflects the value you bring to our team.

Responsibilities

The Analytic Lead is responsible for building and supporting processes related to Client contract performance, Client Audit, and MAC Management. This role involves developing data analysis models and implementing pricing strategies to ensure compliance and maximize profitability.