Principal Underwriting & Analytics

MedImpact•San Diego, CA

7d•Onsite

About The Position

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services. The Principal, Underwriting and Analytics provides expertise and leadership for all pricing and underwriting activities associated with client revenue. This position will work with Sales, Business Development, and Finance to deliver profitable business line growth through retention of existing relationships, new customer acquisitions, and product innovation. The Principal, Underwriting and Analytics leads a staff that manages the underwriting process for prospective clients and new customer acquisitions. The incumbent provides detailed and timely documents to assist departments in obtaining and maintaining clients and ensures that financial opportunities are aligned with corporate strategies by directing financial objectives with internal departments of the organization as well as external vendors.

Requirements

BA/BS Degree; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.
To perform this job successfully, an individual should have solid expertise with Microsoft Office suite.
Knowledge of liability exposure, cost accounting, and pricing functions in PBM or healthcare arena.
Excellent negotiation and presentation skills.
Ability to effectively interact with all levels of internal and external business partners.
Expertise with the utilization of market analysis for the development of new product price offerings.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Nice To Haves

Familiarity operating within large complex databases and data visualization tools is strongly desired.

Responsibilities

Directs, oversees, and ensures the development and provision of revenue estimates and profit and loss analysis for new & existing clients based on identified requirements in Request for Proposal (RFP) or client stipulations.
Assists in the strategy development around financial quotes that provide optimum cost performance for clients, as well as maximize the revenue opportunities for the company.
Participates with Finance leadership in the development of strategies and financial forecasts that provide optimum cost performance for clients, as well as maximize the revenue opportunities for the company.
Develops insightful analyses that support the continual monitoring and reporting on variances in profit and loss statement versus underwriting results. Understands how to identify key drivers that create variation from original proposal assumptions vs. actual data experience.
Creates strategic and evolving pricing strategies to lead market offering, challenges status quo in terms of creative solutions to demonstrate value to the market.
Thrives in managing large data sets and leading a team to continuously operate in a clean and consistent data environment. Understands drivers that introduce noise and imprecision into analyses, partners with business stakeholders to solution accordingly.
Understands market benchmarks and drivers, develops solutions to create accurate comparisons of bid feedback and competitive insight.
Remains informed on changing market dynamics that impact business operations.
Ensures the continual assessment of potential clients needs in relation to corporate business objectives. Identifies, develops and introduces process improvement opportunities.
Understands and incorporates key market drivers into all pricing analyses including drug cost trending and inflation factors.
Oversees the development and maintenance of uniform underwriting guidelines and procedures.
Directs the monitoring and tracking of various bid offerings to provide executive reporting around how the market is evolving and identify areas where improvement is needed to stay competitive.
Reviews and provides guidance around contractual language pertaining to rebate offer to ensure the agreement supports what was underwritten.
Provides interpretation of financial policies, governmental legislation, accounting theory, or customer financial regulations that attribute to financial performance outcomes.
Participates in discussions with clients and/or consultants around the financial offerings being proposed that address questions around pricing, caveats, and outcomes.
Manages assigned staff in the segment area.
Responsible for the overall direction, coordination, and evaluation of the unit.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.