Pharmacy Underwriting Analyst

Medone Pharmacy Benefit Solutions•Dubuque, IA

12d•Remote

About The Position

Position Overview: As an Underwriting Analyst, you will be a strategic team member that is key in both winning new and retaining existing business by compiling financial proposals that appeal to clients, while meeting MedOne goals. About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

Requirements

Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred
1-3 years as a functional Data Analyst to include: Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience.
Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
System architecture and enterprise solution understanding.
Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools
Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
Ability to think strategically and proactively
Time management and prioritization skills.
Incredible work ethic and energy.

Responsibilities

Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability.
Analyze pharmacy claims data and develop reports for operations, sales and other key business units.
Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations
Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement.
Complete formulary and network disruptions to aid in the onboarding process of new clients
Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.
Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects
Active participation and/or ownership in both quarterly and annual business unit priorities
Other duties as assigned