Remote opportunity at
OneDigitalPBM RFP & Pricing Lead - Remote
OneDigital is looking for a remote PBM RFP and Pricing Lead. The new hire will oversee how pharmacy benefit manager bids are solicited and assessed, from…
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About This Role
OneDigital is looking for a remote PBM RFP and Pricing Lead. The new hire will oversee how pharmacy benefit manager bids are solicited and assessed, from scoping the request through to shortlisting finalists, and will shape how proposals are priced and compared. This person answers to the Director of PBM Performance, who sets the overall course, while the lead handles daily execution and helps build the RFP function. Numbers drive…
Job Description
OneDigital is looking for a remote PBM RFP and Pricing Lead. The new hire will oversee how pharmacy benefit manager bids are solicited and assessed, from scoping the request through to shortlisting finalists, and will shape how proposals are priced and compared. This person answers to the Director of PBM Performance, who sets the overall course, while the lead handles daily execution and helps build the RFP function.
Numbers drive this position. The work centers on building and tuning price models that account for discount guarantees, rebate arrangements, administrative fees and specialty drug pricing. Bidder financials must be placed on a common footing so offers can be judged fairly, underwriting assumptions get tested, and hidden charges or unusual contract clauses are surfaced. Dense proposal material also has to be translated into clear recommendations for colleagues and clients.
The lead also acts as steward of the RFP toolkit. That includes helping design AI-assisted features that extract contract terms automatically, summarize and compare vendor replies, and project likely pricing results, all built alongside analytics and engineering staff. Mentoring junior staff and supplying subject expertise for business development proposals complete the picture.
Strong applicants bring five to ten or more years in PBM advisory, underwriting, pricing or bid work, advanced spreadsheet proficiency, and curiosity about applying artificial intelligence to operational problems. Candidates must hold authorization to work in the US without visa or residency sponsorship.
Responsibilities
- Direct the full bid cycle, from planning through to finalist choice
- Create consistent RFP templates, question banks and scoring rubrics for all clients
- Build and refine PBM pricing models covering guarantees, rebates, admin fees and specialty pricing
- Put bidder financial submissions on a comparable basis
- Examine what drives spend, including drug costs, utilization, rebates and clinical programs
- Question PBM pricing methods and stress-test underwriting assumptions
- Expose pricing hazards, concealed fees and contract subtleties that shape total cost
- Back finalist negotiations with modeled scenarios and data-based guidance
- Own the RFP toolset, including AI-assisted functions
- Coach junior colleagues and help grow the RFP function
Requirements
- Five to ten-plus years in PBM advisory, underwriting, pricing or bid strategy
- Grasp of PBM economics, such as AWP discounts, MAC pricing and drug ingredient costs
- Knowledge of rebate guarantee formats: per member per month, per claim, and blended
- Understanding of specialty pharmacy economics plus administrative fee terms
- Track record building or assessing PBM RFPs and vendor replies
- Advanced Excel proficiency
- Skill at turning intricate data into executive-level findings
- Authorized for US employment without visa or residency sponsorship
Qualifications
- SQL skill and familiarity with analytics platforms such as Qlik, Power BI or Tableau
- Hands-on work with RFP software
- Exposure to AI tooling, automation or data product building
Core Skills
Benefits
- Health, wellbeing and retirement coverage
- Paid time off
- Overtime for non-exempt staff
- Training and development programs
- Reimbursement for work-related costs under company rules
- Staff perks and discounts
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this role remote?
Yes. The posting lists the role as remote. Candidates must be authorized for employment in the US without visa or residency sponsorship.
What is the pay range?
The posting gives a typical base range of $90K to $150K per year nationwide. Pay depends on skills, education, experience and location.
Who does this role report to?
It reports to the Director of PBM Performance and takes strategic direction from that role while owning day-to-day execution.
How much experience is required?
The posting asks for five to ten or more years in PBM advisory, underwriting, pricing or bid work, plus advanced Excel skills.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.