Principal Underwriting & Analytics

Principal, Underwriting and Analytics

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services.

The Principal, Underwriting and Analytics provides expertise and leadership for all pricing and underwriting activities associated with client revenue. This position will work with Sales, Business Development, and Finance to deliver profitable business line growth through retention of existing relationships, new customer acquisitions, and product innovation. The Principal, Underwriting and Analytics leads a staff that manages the underwriting process for prospective clients and new customer acquisitions. The incumbent provides detailed and timely documents to assist departments in obtaining and maintaining clients and ensures that financial opportunities are aligned with corporate strategies by directing financial objectives with internal departments of the organization as well as external vendors.

Essential duties and responsibilities include the following. Other duties may be assigned.

• Directs, oversees, and ensures the development and provision of revenue estimates and profit and loss analysis for new & existing clients based on identified requirements in Request for Proposal (RFP) or client stipulations.
• Assists in the strategy development around financial quotes that provide optimum cost performance for clients, as well as maximize the revenue opportunities for the company.
• Participates with Finance leadership in the development of strategies and financial forecasts that provide optimum cost performance for clients, as well as maximize the revenue opportunities for the company.
• Develops insightful analyses that support the continual monitoring and reporting on variances in profit and loss statement versus underwriting results. Understands how to identify key drivers that create variation from original proposal assumptions vs. actual data experience.
• Creates strategic and evolving pricing strategies to lead market offering, challenges status quo in terms of creative solutions to demonstrate value to the market.
• Thrives in managing large data sets and leading a team to continuously operate in a clean and consistent data environment. Understands drivers that introduce noise and imprecision into analyses, partners with business stakeholders to solution accordingly.
• Understands market benchmarks and drivers, develops solutions to create accurate comparisons of bid feedback and competitive insight. Remains informed on changing market dynamics that impact business operations.
• Ensures the continual assessment of potential clients needs in relation to corporate business objectives. Identifies, develops and introduces process improvement opportunities.
• Understands and incorporates key market drivers into all pricing analyses including drug cost trending and inflation factors.
• Oversees the development and maintenance of uniform underwriting guidelines and procedures.
• Directs the monitoring and tracking of various bid offerings to provide executive reporting around how the market is evolving and identify areas where improvement is needed to stay competitive.
• Reviews and provides guidance around contractual language pertaining to rebate offer to ensure the agreement supports what was underwritten.
• Provides interpretation of financial policies, governmental legislation, accounting theory, or customer financial regulations that attribute to financial performance outcomes.
• Participates in discussions with clients and/or consultants around the financial offerings being proposed that address questions around pricing, caveats, and outcomes.

Supervisory Responsibilities

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BA/BS Degree; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.

Computer Skills

To perform this job successfully, an individual should have solid expertise with Microsoft Office suite. Familiarity operating within large complex databases and data visualization tools is strongly desired.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

• Knowledge of liability exposure, cost accounting, and pricing functions in PBM or healthcare arena.
• Excellent negotiation and presentation skills.
• Ability to effectively interact with all levels of internal and external business partners.
• Expertise with the utilization of market analysis for the development of new product price offerings.

Reasoning Ability

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills

Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Language Skills

Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Business Acumen

Directing Others

Organizational Agility

Conflict Management

Drive for Results

Political Savvy

Customer Focus

Innovation Management

Strategic Agility

Decision Quality

Managerial Courage

Physical Demands

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. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position