Manager, Pricing and Underwriting
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Job Description
Manager of Pricing and Underwriting leading pricing and underwriting team at independent pharmacy solutions company. Supporting engagement with clients and market leading strategies.
Responsibilities:
- Work in partnership with Networks, Rebates, Sales Operations, and Account Management to win and retain clients through demonstrating Maxor’s value proposition
- Support the development of PBM financial offerings including the pricing for retail network, mail order, specialty, formulary rebate, and ancillary prices
- Provide support with all Requests for Proposal requirements and positioning
- Prepare financial models based on knowledge of customer needs, costs and financial goals
- Analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
- Utilize economic, financial, and industry data to accurately diagnose business strengths and weaknesses by channel, as well as able to analyze and act on threats and business opportunities
- Support the development of financial models and present deals in Executive Committee meetings
- Execute the corporate contracting strategy as determined by established policies
- Analyze, manipulate, and draw relevant conclusions based on research of the market, customer demands and Maxor’s bottom line
- Coordinate activities necessary to put together pricing strategy for outside customers
- Prepare financial pricing models to offer attractive deals to customers while ensuring Maxor’s ongoing financial success
- Partner with Account Management to conduct analyses of performance of existing contracts
- Ensure contract execution is consistent with contract terms and monitor consistency of contract terms across various customers
- Present information in a meaningful and relevant manner to VytlOne executives, potential customers, etc.
- Ensure staff is informed of product upgrades or enhancements in a timely manner
- Develop and mentor departmental staff by providing career coaching; motivate departmental staff, individually and as a group; understand and support diversity; and establish an effective team
- Support initial and annual performance evaluations
- Promote teamwork; discipline staff when warranted
- Promptly report any allegations of impropriety to the Compliance Department
- Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
- Complete required training, as assigned, within the established timeframes
- Maintain regular attendance in accordance with established policies
- Perform other job-related duties as assigned
Requirements:
- Bachelor's degree in Finance or other critical thinking major; advanced business degree (MBA) CPA preferred
- Experience in PBM or Health Plan
- Experience leading and managing critical strategic projects
- Experience managing pricing processes that involve cross-functional partners
- Experience working with various levels of the organization including leadership, peers, and junior team members
- Experience developing financial models
- Experience performing competitive analysis to understand market position
- Experience supporting business decisions with business cases presentations
- Expertise building models in Excel and other platforms
- Experience developing presentations to present business cases to senior executives
- Experience with statistical and/or predictive analysis
- Experience working with multiple data sources
Benefits:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
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