Ld Dir, PBM Underwriting

Description: • Lead a critical segment supporting a strategic PBM client division. • Identify and execute on opportunities to optimize client engagement and profitability. • Develop pricing offers that support client retention and growth. • Monitor financial performance of the division. • Provide consultative information and recommendations in plan design, distribution channel, underwriting new pharmacy contracts. • Increase revenue and profit margins. • Conduct market and competitive analyses to understand industry trends, client needs, and competitor offerings. • Engage with clients to understand specific needs and concerns. • Manage key performance indicators (KPIs) related to RFP success rates, turnaround times, and client satisfaction. • Provide regular reports and insights to senior management for strategic decision-making. Requirements: • 10+ years of prior underwriting or financial analysis experience • 8+ years of professional experience, preferably within a PBM or health plan. • 5+ years leading highly functional teams • Experience with health plans that are highly custom in their approach to pharmacy benefit services – complex pricing arrangements, custom formularies, clinical programs, channel solutions, and integrated benefit designs. • Requires knowledge of PBM profit levers, underwriting and financial models. • Understanding of healthcare and pharmacy claims data and common tools used to manipulate data. • Exceptional communication skills across the full spectrum of formal and informal channels and to multiple audiences, including external clients, consultants, internal partners, and executive leadership. • Proven ability to educate and influence external customers and internal partners. • Ability to manage and deliver on client expectations within assigned book of business. • Skilled at collaborating and working across a complex matrixed organization. • Experience working with varying levels of client contacts, including executive leadership, Chief Medical Officers, pharmacy department leadership, provider networks, actuaries, financial analysts, and consultants. • Broad knowledge of the overall enterprise infrastructure, including operational systems and data warehouses. Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Apply tot his job Apply To this Job