Senior Pharmacy Underwriting Consultant - Remote

Company: UnitedHealth Group
Location: Orlando
Posted on: March 20, 2023

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.

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