VCN Pharmacy Jobs

Virtual Career Network Healthcare mobile logo

Job Information

Cambia Health Solutions Pharmacy Underwriter Senior in Spokane, Washington

----Job Description----Pharmacy Underwriter SeniorThe position can be anywhere in the states with a preference for candidates in our four Cambia states - OR, WA, ID or UTThe Pharmacy Underwriter Senior will support both new and renewal case specific ASC (self-insured) Pharmacy Benefit Management (PBM) pricing. The Pharmacy Underwriter will be responsible for quoting and rating proposals and renewal projections. Acts as a subject matter expert providing guidance to the Underwriting team for Pharmacy rating.Responsibilities:* Develop prospective and renewal pharmacy rates and terms (AWP discounts, rebates, and administrative fees) for group accounts in accordance with corporate and underwriting guidelines.*Collaborate with both internal and external colleagues in developing client-specific pharmacy pricing strategies.* Work with proposal unit to ensure responses, including pertinent definitions and caveats, to all RFPs are complete and accurate.* Support internal underwriting staff regarding pharmacy pricing questions.* Effectively communicate pharmacy pricing decisions to other departments when necessary.* Assist in the training process and mentoring of the Underwriting team related to pharmacy pricing.* Analyze data from the PBM underwriting staff to produce market appropriate proposals.* Contribute to the development of new pharmacy pricing formulas, methodologies, and guidelines.* Prepare pharmacy reporting to provide for book of business insights.* Assist with testing new pricing, underwriting and front-end systems as needed.* Ensure the proper administration of underwriting and legislative guidelines for new and renewing groups.* Achieve overall corporate financial goals by applying appropriate pharmacy pricing methodologies.* Build winning financial offers that balance internal profitability and ensure competitiveness in the market.Minimum Requirements:* Prior experience with a major Pharmacy Benefit Manager, Health Plan, Pharmacy Brokerage or Consulting Practice.*Extensive knowledge of the health insurance and PBM industry and pricing practices.* Demonstrated detailed knowledge of PBM pricing and concepts, including complex terms and conditions and their impact on the overall offer position.* Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products.* Ability to build and maintain positive internal and external customer interactions.* Demonstrated attainment of a high level of independent, consistent performance.* Ability to organize, plan, prioritize and complete complex assignments with little or no supervision.* Demonstrated high level of attention to detail and quality.* Proven understanding of business, including finance, accounting, economics, and risk management.* Demonstrated ability to read the marketplace and competitive environment.* Ability to prioritize tasks and meet deadlines.* Effective verbal and written communications.* Strong team player with a customer service approach.* Demonstrated technology proficiency, including Excel, Word, Teams and applicable software applications.Normally to be proficient in the competencies listed above:Pharmacy Underwriter Senior would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 5+ years related experience or an equivalent combination of education and experience.This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All

DirectEmployers