Manager, PBM Underwriting

2 settimane fa


WorkFromHome, Italia LucyRx A tempo pieno

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


  • Remote PBM Underwriting

    2 settimane fa


    WorkFromHome, Italia LucyRx A tempo pieno

    A health benefits management firm is seeking a Manager of PBM Underwriting & Analytics to lead and oversee underwriting and analytical functions. This remote role requires managing a team of analysts and developing strategies to ensure pricing competitive and profitable for pharmacy benefit programs. Key responsibilities include implementing underwriting...

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