Sr Mgr Pharmacy Underwriting

Health Care Service Corporation-posted 3 days ago

Full-time • Manager

Hybrid • Tulsa, OK

5,001-10,000 employees

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At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. Interact with BCBSA and member plans.

Interact with BCBSA and member plans.
Interpret and describe BCBS products and financial arrangements as well as those provided by competitors.

Bachelor Degree and 5 years’ experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers OR 6 years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers.
3 years of underwriting of higher complexity cases (if responsibility includes one or more of the following segments: large/major/national/and or special accounts (Labor Union, Student Health, IL Hospital, Co-operatives, Private Exchange, etc.) or OR Demonstrated capability to meet required job responsibility.
Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions.
Operational knowledge of renewal and prospective group health underwriting processes and procedures.
Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding.
Extensive experience applying consortium procedure and pricing (if applicable).
Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions.
Work management skills in prioritizing and assigning work and project assignments.
Demonstrated highly effective Presentation skills for addressing customers and senior management.
Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff.
Project management skills and experience, including designing and leading projects.
Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience.
Interact with BCBSA and member plans.
Interpret and describe BCBS products and financial arrangements as well as those provided by competitors.
Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships.
Independent judgment and problem resolution skills.
Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines.
PC proficiency to include Word and Excel.
Successfully demonstrated skills and experience in presenting to external clients.
Process management and process improvement experience and skills to identify and implement process changes.

Pharmacy Underwriting experience
Experience leading pharmacy underwriters

health and wellness benefits
401(k) savings plan
pension plan
paid time off
paid parental leave
disability insurance
supplemental life insurance
employee assistance program
paid holidays
tuition reimbursement
other incentives

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