Manager, Pricing and Underwriting

Role Description

The primary role of the Manager of Pricing and Underwriting is to lead the organization’s pricing and underwriting team members: Senior Pricing Analyst, Pricing and Underwriting and Pricing Analyst, Pricing and Underwriting. Responsibilities include:

• Assisting in the creation and implementation of pricing and underwriting policies and procedures
• Development and enhancement of analytical tools and methodologies
• Supporting engagement with clients, consultants, and brokers
• Supporting market leading pricing and underwriting strategies

Qualifications

• Bachelor’s degree in Finance or other critical thinking major; advanced business degree (MBA) CPA preferred
• Experience in PBM or Health Plan
• Experience leading and managing critical strategic projects
• Experience managing pricing processes that involve cross-functional partners
• Experience working with various levels of the organization including leadership, peers, and junior team members
• Experience developing financial models
• Experience performing competitive analysis to understand market position
• Experience supporting business decisions with business cases presentations
• Expertise building models in Excel and other platforms
• Experience developing presentations to present business cases to senior executives
• Experience with statistical and/or predictive analysis
• Experience working with multiple data sources

Requirements

• Proven ability to interpret and manage contracting legal language and terms
• Demonstrated ability to coach, develop, and mentor a team of direct reports
• Strong financial acumen and analytical skills, with the ability to translate insights into business impacts and actionable next steps
• Able to effectively manage competing priorities with strong sense of urgency
• Able to effectively shift priorities of reports to solve immediate business issues
• Developing knowledge of payor, pharmacy, retail, GPOs and the contracting process within those organizations
• Possess an in-depth understanding of the various Legal and Compliance implications within PBM in order to ensure risk mitigation
• Ability to effectively communicate and influence cross-functional stakeholders on complex business proposals and to accurately interpret business considerations and impacts
• Advanced Microsoft Excel skills
• Understanding of the legal/regulatory environment
• Strong written and verbal communication skills
• Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
• Proven teamwork and collaboration skills with a demonstrated track record leading highly matrixed, cross-functional work teams comprised of analysts, sales persons, and account managers
• Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners (e.g. peers, functional partners, external vendors and alliance partners) typically mid management
• Ability to analyze and use qualitative and quantitative data and incorporate understanding into decision criteria
• Strong understanding of the PBM market, supply chain management and financial modeling.

Benefits

• Diverse and inclusive work culture that supports a flexible work model
• Mission-driven organization focused on improving healthcare outcomes
• Competitive compensation and comprehensive health benefits package
• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!