Senior Director of Underwriting - REMOTE

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Senior Director of Underwriting - REMOTE

Job Description

The Sr. Director Underwriting will work with assigned business units and Finance to deliver profitable growth of the business line through retention of existing relationships, new customer acquisition, and product innovation. The role leads a staff that manages the entire underwriting process for prospective clients and new customer acquisitions.

Responsibilities

• Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities.
• Interact with clients as needed to resolve differences in projections are rate-setting methodology.
• Incorporate administrative cost projections and business unit profit objectives to develop final rates quoted to customer.
• Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability.
• Complete quarterly savings reporting to current clients and provide estimated savings for prospect clients
• Reviews utilization, cost trends, and other assumptions that are used in pricing models.
• Evaluate cost impact of new product initiatives and proposes rate structures to maximize profitability and ensure appropriate returns for risk.
• Ensure that appropriate underwriting policies and procedures are applied to new and existing business and that responses are timely.
• Provide recommendations on product and customer rates to senior management and coordinates approval process.
• Interact with clients and customers and internal staff to resolve issues related to information provided and Request For
• Proposal language and response expectations.
• Supports variety of projects from Business Unit and Corporate Finance.
• Manage team of pricing and reporting analysts.
• Other duties as assigned.

Minimum Qualifications:

• Bachelor's degree in Finance, Business or related area of study or equivalent combination of education and/or work experience; HS diploma or GED is required.
• 10 years of relevant work experience, to include 5 years of managed care or related PBM experience.
• 7 years of leadership/people management experience.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Experience in leading a team of people.
• Thorough knowledge of the health care and health insurance industries.
• Ability to develop and document creative approaches to underwriting new products.
• Experience in analysis of medical and related administrative cost data.
• Strong Knowledge of underwriting principles in a managed care environment.
• Excellent written and communication skills.
• Ability to self-start and work independently.
• Good analytical, reasoning and problem-solving skills.
• Strong organizational skills and must be able to adhere to strict deadlines.
• Willingness to learn new product lines and adapt to changing environment.
• Strong working knowledge Microsoft Office Product suite, specifically Excel.
• Experience with managing large data sets with tools such as MS Access.
• Actuarial pricing experience preferred.
• Comprehensive understanding of PBM products, revenue levers and cost drivers to creatively recommend pricing that is market competitive while meeting financial goals of Magellan.

Preferred Qualifications

• Masters
• CPA - Certified Public Accountant - Enterprise

Physical Demands

• Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
• Must be able to constantly operate a computer and/or other office productivity equipment
• Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

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