Manager, Pricing and Underwriting

🕒 il y a 9 jours

🏈 Alabama, Arizona, +32 états de plus – Distant

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $96 481 - $118 382 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💰 Analyste Pricing

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Navitus Health Solutions

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2003

💼 Conseil

🛡️ Assurance

🏥 Santé

Consulting • Insurance • Healthcare

Navitus Health Solutions est un gestionnaire de prestations pharmaceutiques (PBM) qui propose des solutions transparentes et centrées sur les personnes pour les prestations pharmaceutiques, à destination des régimes de santé, des employeurs, des programmes gouvernementaux et d'autres parrains de régimes. L'entreprise opère sur un modèle de passage intégral à un coût majoré, qui met l'accent sur la réduction des coûts des médicaments, la gestion des formulaires, la gestion des médicaments spécialisés (y compris une pharmacie spécialisée à coût majoré), l'évaluation des réclamations, la gestion du réseau de pharmacies, ainsi que l'activation et le support des membres. Navitus se positionne comme un partenaire fiduciaire axé sur l'accessibilité, la conformité, la qualité clinique, et l'amélioration des résultats de santé grâce à des services PBM sur mesure et à des intégrations de santé numérique.

Description

• Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc financial analyses. • Lead, coach, and train supervisors and analysts to support accurate, timely, and consistent pricing, underwriting, and risk analysis deliverables. • Oversee interpretation and application of claims utilization, network pricing, pharmaceutical rebate pricing, administrative fee pricing, trend, government services impacts, client profitability, and other relevant data. • Direct development, maintenance, and use of pricing models, risk evaluation models, and client profitability models. • Evaluate pricing risk, financial guarantee exposure, and value derived from client relationships. • Maintain and apply underwriting guidelines, pricing standards, approval processes, policies, procedures, work instructions, and quality assurance practices. • Participate in client-facing meetings, finalist presentations, and internal strategy discussions. • Support periodic leadership reporting on pricing, underwriting, client profitability, business value, risk exposure, actual-to-expected performance, and related metrics. • Identify and implement process improvements, model enhancements, reporting improvements, training opportunities, and quality assurance practices. • Establish, mentor, and develop team members through coaching, feedback, and career planning. • Perform other duties as assigned.

🎯 Exigences

• Bachelor’s degree, preferably in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business, required. • 4+ years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting required. • 2+ years of progressive leadership experience, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required. • Experience working in the pharmacy benefit management industry preferred. • Experience using financial valuation models and analyzing results preferred. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees. • Residents must be located in one of the eligible U.S. states or Washington, DC.

🏖️ Avantages

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750! • STAR Bonus % (At Risk Maximum): 10.00