Senior Pharmacy Underwriting Consultant - Remote
Company: UnitedHealth Group
Location: Orlando
Posted on: March 20, 2023
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Job Description:
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 equitable.
Ready to make a difference? Join us and start doing your life's
best work.(sm) 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. Primary
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 You'll be rewarded and recognized for your performance
in an environment that will challenge you and give you clear
direction on what it takes to succeed in your role as well as
provide development for other roles you may be interested in.
Required Qualifications: Bachelor's Degree, or equivalent work
experience 5 years' experience in healthcare finance setting:
medical or pharmacy underwriting, finance, or employee benefit
broker/consulting practice Intermediate level of proficiency with
MS Office suite (specifically Excel) Demonstrated solid
organizational, negotiation, and financial skills Preferred
Qualifications: 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 Excellent communication
skills, both orally and in writing, at peer and management level.
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) Careers at UnitedHealthcare Employer &
Individual. We all want to make a difference with the work we do.
Sometimes we're presented with an opportunity to make a difference
on a scale we couldn't imagine. Here, you get that opportunity
every day. As a member of one of our elite teams, you'll provide
the ideas and solutions that help nearly 25 million customers live
healthier lives. You'll help write the next chapter in the history
of health care. And you'll find a wealth of open doors and career
paths that will take you as far as you want to go. Go further. This
is your life's best work.(sm) All employees working remotely will
be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Nevada, New York City, or
Washington Residents Only: The salary range for
California/Colorado/Connecticut/Nevada/New York City/Washington
residents is $85,000 to $167,300. Pay is based on several factors
including but not limited to education, work experience,
certifications, etc. In addition to your salary, UnitedHealth Group
offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives. At UnitedHealth Group, our mission is to help
people live healthier lives and make the health system work better
for everyone. We believe everyone-of every race, gender, sexuality,
age, location and income-deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes - an
enterprise priority reflected in our mission. Diversity creates a
healthier atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. UnitedHealth Group is a drug
- free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Orlando , Senior Pharmacy Underwriting Consultant - Remote, Accounting, Auditing , Orlando, Florida
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