AVP Underwriting - REMOTE

Prime Therapeutics • Home, WV

2d • $164,000 - $279,000 • Remote

About The Position

The Assistant Vice President of Pricing and Underwriting is responsible for the execution of innovative pricing and go to market strategies, working closely with Prime's clients to expand business and create revenue. This role will translate complex pricing strategies into specific initiatives to drive implementation and execution, and will lead a team of actuaries, underwriters and analysts in the development and maintenance of competitive contract language and pricing recommendations for all RFPs.

Requirements

• Bachelor's degree in Mathematics, Actuarial Science, Economics, Finance or related field, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 12 years of work experience in financial analysis, healthcare, benefits consulting, actuarial and underwriting or financial services field to include 7 years of experience working with pricing and profitability models
• 8 years leadership/people management experience
• Must be eligible to work in the United States without the need for work visa or residency sponsorship
• Strong client consulting presence: ability to distill complex material into easy-to-understand presentations, effectively respond to questions and engage a variety of audiences
• Experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients' complex pharmacy benefit challenges
• Excellent quantitative, problem solving, and analytical skills
• Strong understanding of pharmacy plan design

Nice To Haves

• Actuarial designation (ASA or FSA)
• Technical background in underwriting and risk adjusted rate setting
• Previous Pharmacy Benefits Management (PBM) experience

Responsibilities

• Lead a team responsible for the execution, analysis and underwriting of competitive pricing strategies, including creating aggressive pricing recommendations, developing and negotiating competitive contract language, and working closely with clients to win and retain employer pharmacy business
• Lead client consultation as they navigate the complex pharmacy pricing environment by providing guidance on Prime recommended strategies with support around risk management strategies
• Assistance with occasional consultant engagements in partnership with Prime’s health plan clients
• Demonstrate a deep understanding of pricing fundamentals and competitive drivers that demonstrate Prime's value proposition and to win new business
• Partner with internal stakeholders and business leaders across Finance, Sales, Network Management, Trade Relations, and Clinical to develop, recommend, communicate, sell, and implement competitive pricing strategies; monitor implemented strategies and improve performance on an ongoing basis
• Partner with internal stakeholders in to develop aggressive pricing strategies aimed at the employer market; consult and collaborate with health plan clients to implement strategies in order to win and retain employer pharmacy business
• Develop and foster a culture of continuous improvement, working with direct reports to provide guidance and direction on appropriate improvements to support future growth
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Executive