Senior Director of Underwriting and Analytics

4 days ago

Atlanta, Georgia, United States ProCare RX Full time $120,000 - $200,000 per year

PRINCIPLE RESPONSIBILITIES:

  • Provide clients and prospective clients with specialized review of existing plan design, contractual terms and pricing to remain competitive.
  • Ensuring that the financial analysis on prospective clients is completed accurately and within appropriate deadlines.
  • Provide expertise on valuations of potential corporate initiatives, creating client pricing, ROI, and the ability to evaluate opportunities within the larger scope of the entire company.
  • Leverage pharmacy and medial claims data to provide actionable and relevant and timely analytic insight.
  • Strong understanding of ACA, PPACA, Medicare and spectrum from fully insured to fully self-funded small and large PBM business plans. Solid understanding of employer/group health benefits from all funding methodologies.
  • Engage with executive leadership to identify areas where analytics can drive business value.
  • Define team and individual goals, managing performance and providing onboarding support and ongoing mentorship to the analytics team.

SKILLS AND REQUIREMENTS:

  • Bachelor's degree form a 4 year college or university
  • Minimum 5 years health insurance experience
  • Prior experience analyzing medical and/or self-funding and PBM experience is beneficial
  • Strong Microsoft Excel and Excel Veba skills
  • Proficiency in Microsoft office (Microsoft CRM) is beneficial
  • Clear and concise written and verbal communication skills is essential
  • Ability to manage, train and mentor staff
  • Ability to develop and implement innovative pricing strategies whereby improving market competitiveness while maintaining profitability goals.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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