Senior Underwriting Consultant, Pharmacy - Remote

Senior Pharmacy Underwriting Consultant

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Senior Pharmacy Underwriting Consultant will ensure that UHC underwriting across all segments is, where appropriate, utilizing all margin retention and growth pricing strategies currently available as well as ensuring that our pricing strategies and capabilities are aligned with the market. The successful candidate will participate in the pricing activities of RFPs (Requests for Proposals) and will acquire a breadth of knowledge in all financial/operational aspects of our business. The consultant will be responsible for all pharmacy pricing aspects including Retail, Mail, Specialty, Administrative fees if applicable and Rebate structure. You will work closely with National Accounts, Key Accounts and Public Sector underwriting to ensure financial execution is consistent and that E&I margin growth strategies are congruent with organizational strategies.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Support overall effort to win new business and retain current clients
• Proactively ensure UHC pharmacy underwriting practices/strategies are current and position company favorably vs. Pharmacy Benefit Manager (PBM) and carrier competition
• Coordinate and align underwriting pricing practices and strategies with our UW Employer & Individual (E&I) pharmacy partners, as well as with our PBM OptumRx as appropriate
• Act as a pharmacy SME and engage in client/prospect specific renewals and RFP's
• Lead efforts to maintain and embellish pharmacy underwriting guidance, as well as keep current underwriter training initiatives via training conference calls, and in person educational seminars. Also participate in sales training efforts
• Present financial recommendations to senior management and collaborate in discussions between underwriting and sales leadership
• Coordinate proposal and guarantee document language with other impacted areas including Legal
• Track and report on pricing initiatives (new products/networks, tactics) on an as needed basis
• Participate in oversight committee working directly with Senior Actuarial, UHCP Finance, Sales and Underwriting Leaders
• Participate in pricing and contract negotiations with customers and their pharmacy consultants or brokers
• Sought out as an expert and serves as a leader/mentor

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 5+ years of experience in healthcare finance setting: medical or pharmacy underwriting, finance, or employee benefit broker/consulting practice
• Demonstrated experience managing multiple workstreams (e.g., RFPs, pricing analyses, contract reviews) with ? 98% on-time delivery
• Solid financial acumen, including experience analyzing budgets, pricing models, or financial results to support business decisions
• Intermediate (minimally) level of proficiency with MS Office suite
• Proven excellent communication skills, both orally and in writing, at peer and management level
• Proven advanced Excel skills
• Proven solid collaborative skills, team player, self-starter
• Willing and able to travel 10% +/- depending on business need

Preferred Qualifications:

• 5+ years of experience with Risk Management
• Exposure to self-funded and/or pharmacy underwriting/financial management either with carrier or PBM
• Experience working for a PBM or in a consulting role on behalf of PBM clients
• Demonstrated project management experience with strong coordination and follow-through skills (having the skillset, does not have to be a PMO or a Project Manager)
• Moderate experience with Artificial Intelligence tools and incorporating those into daily responsibilities
• Proven diverse communication skills with both internal and external partners/customers

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.