Manager, PBM Underwriting & Analytics

Remote Position: This is a remote position; however, you should expect to travel for team meetings, client meetings or other collaboration needs.

Summary

The Manager of PBM Underwriting & Analytics is responsible for leading and overseeing the underwriting and analytical functions within the organization. This role involves managing a team of underwriting analysts to develop, implement, and refine strategies that ensure competitive pricing and profitability for pharmacy benefit programs. The position requires a deep understanding of pharmacy benefits, data analysis, and risk management.

Roles and Responsibilities

• Implement & perform underwriting process for pharmacy benefit programs, including pricing strategies and risk assessment.
• Implement underwriting guidelines and procedures to ensure consistency and accuracy.
• Evaluate and approve complex underwriting decisions and proposals.
• Identify market trends, competitive threats, and opportunities for innovation.
• Drive initiatives to improve profitability and competitive positioning.
• Work closely with internal stakeholders, including finance, operations, and clinical teams, to ensure alignment on underwriting and analytical strategies.
• Develop strategic relationships with external stakeholders, including consultants, brokers, and other industry leaders.
• Communicate findings and recommendations to senior leadership and other key stakeholders.
• Leverage advanced technology and data analytics tools to enhance underwriting processes and analytical capabilities.
• Stay updated with industry trends and technological advancements to continuously improve practices.

Seniority level

Not Applicable

Employment type

Full-time

Job function

Business Development

Industries

Hospitals and Health Care

#J-18808-Ljbffr