PBM Underwriter

Maxor National Pharmacy Services, LLC • Remote,

56d • Remote

About The Position

The primary role of the Underwriter manages the compilation, analysis, and reporting of data for contracts for PBM services and other pharmacy business units. Apply experiences with various PBM contract types (pass through and traditional) along with product/service mix to deliver ranges of client contract options. Work cross-functionally with members of proposal team, pricing team, finance, clinical and other groups along with Sales/Account Management to employ strategy around setting market pricing while meeting financial objectives. Utilize SQL, Excel, and data visualization tools to aid in performance quantitative and qualitative analysis, financial modeling, and economic forecasting.

Requirements

• Bachelor’s Degree in Accounting, Finance, or Economics.
• Three + years’ experience completing complex analytical, financial analysis.
• Advanced knowledge of Microsoft Excel & Word
• Basic SQL proficiency utilizing functions, statements such as SELECT, CASE, or JOIN, and conditional operators
• Ability to analyze data specific to client opportunity, consider context of company strategies and offer actionable underwriting recommendations
• Experience reviewing, analyzing and assessing complex and unstructured data
• Ability to work on multiple tasks and prioritize deadlines
• Contribute productively and work cohesively with cross-functional teams in operations, sales, account management and finance in fast paced, dynamic environment
• Excellent written and verbal communication skills, with presentation experience in front of leadership
• Strong initiative and ability to manage multiple projects, as well as, strong follow through skills
• Must be detail oriented with strong organizational skills

Responsibilities

• Oversee and implement VytlOne’s underwriting strategy for VytlOne’s PBM opportunities.
• Drive full underwriting process for traditional and pass through PBM RFP opportunities.
• Gather, assess and evaluate quantitative elements such as claims file, underwriting model, P&Ls and deliverables of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc.
• Monitor competitors and industry trends.
• Streamline processes and models to drive efficiency and accuracy.
• Provide financial support for prospect contract negotiations and respond to RFP financial requests.
• Assist in presenting underwriting model and strategy to leadership.
• Communicate range of underwriting scenarios/options to internal stakeholders.
• Participate in ad-hoc department and company projects.
• Work with Sales and Leadership teams in creating underwriting and product positioning strategies.
• Support functional & organizational initiatives as required.
• Develop, maintain and distribute ad-hoc reports and financial models as needed.
• Promptly report any allegations of impropriety to the Compliance Department
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned

Benefits

• Competitive compensation
• Comprehensive health benefits package
• Supportive team environment
• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan

What This Job Offers

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