Senior Underwriting Consultant, Pharmacy - Remote

UnitedHealth Group•Atlanta, GA

13d•$91,700 - $163,700•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Senior Pharmacy Underwriting Consultant will ensure that UHC underwriting across all segments is, where appropriate, utilizing all margin retention and growth pricing strategies currently available as well as ensuring that our pricing strategies and capabilities are aligned with the market. The successful candidate will participate in the pricing activities of RFPs (Requests for Proposals) and will acquire a breadth of knowledge in all financial/operational aspects of our business. The consultant will be responsible for all pharmacy pricing aspects including Retail, Mail, Specialty, Administrative fees if applicable and Rebate structure. You will work closely with National Accounts, Key Accounts and Public Sector underwriting to ensure financial execution is consistent and that E&I margin growth strategies are congruent with organizational strategies. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

5+ years of experience in healthcare finance setting: medical or pharmacy underwriting, finance, or employee benefit broker/consulting practice
Demonstrated experience managing multiple workstreams (e.g., RFPs, pricing analyses, contract reviews) with ≥ 98%25 on-time delivery
Solid financial acumen, including experience analyzing budgets, pricing models, or financial results to support business decisions
Intermediate (minimally) level of proficiency with MS Office suite
Proven excellent communication skills, both orally and in writing, at peer and management level
Proven advanced Excel skills
Proven solid collaborative skills, team player, self-starter
Willing and able to travel 10%25 +/- depending on business need

Nice To Haves

5+ years of experience with Risk Management
Exposure to self-funded and/or pharmacy underwriting/financial management either with carrier or PBM
Experience working for a PBM or in a consulting role on behalf of PBM clients
Demonstrated project management experience with strong coordination and follow-through skills (having the skillset, does not have to be a PMO or a Project Manager)
Moderate experience with Artificial Intelligence tools and incorporating those into daily responsibilities
Proven diverse communication skills with both internal and external partners/customers

Responsibilities

Support overall effort to win new business and retain current clients
Proactively ensure UHC pharmacy underwriting practices/strategies are current and position company favorably vs. Pharmacy Benefit Manager (PBM) and carrier competition
Coordinate and align underwriting pricing practices and strategies with our UW Employer & Individual (E&I) pharmacy partners, as well as with our PBM OptumRx as appropriate
Act as a pharmacy SME and engage in client/prospect specific renewals and RFP's
Lead efforts to maintain and embellish pharmacy underwriting guidance, as well as keep current underwriter training initiatives via training conference calls, and in person educational seminars. Also participate in sales training efforts
Present financial recommendations to senior management and collaborate in discussions between underwriting and sales leadership
Coordinate proposal and guarantee document language with other impacted areas including Legal
Track and report on pricing initiatives (new products/networks, tactics) on an as needed basis
Participate in oversight committee working directly with Senior Actuarial, UHCP Finance, Sales and Underwriting Leaders
Participate in pricing and contract negotiations with customers and their pharmacy consultants or brokers
Sought out as an expert and serves as a leader/ mentor