Senior Director of Underwriting and Analytics presso ProCareRx

PRINCIPLE RESPONSIBILITIES:

• Provide clients and prospective clients with specialized review of existing plan design, contractual terms and pricing to remain competitive. 
• Ensuring that the financial analysis on prospective clients is completed accurately and within appropriate deadlines.
• Provide expertise on valuations of potential corporate initiatives, creating client pricing, ROI, and the ability to evaluate opportunities within the larger scope of the entire company.
• Leverage pharmacy and medial claims data to provide actionable and relevant and timely analytic insight.
• Strong understanding of ACA, PPACA, Medicare and spectrum from fully insured to fully self-funded small and large PBM business plans.  Solid understanding of employer/group health benefits from all funding methodologies.
• Engage with executive leadership to identify areas where analytics can drive business value.
• Define team and individual goals, managing performance and providing onboarding support and ongoing mentorship to the analytics team.

SKILLS AND REQUIREMENTS:

• Bachelor's degree form a 4 year college or university
• Minimum 5 years health insurance experience
• Prior experience analyzing medical and/or self-funding and PBM experience is beneficial 
• Strong Microsoft Excel and Excel Veba skills
• Proficiency in Microsoft office (Microsoft CRM) is beneficial
• Clear and concise written and verbal communication skills is essential 
• Ability to manage, train and mentor staff
• Ability to develop and implement innovative pricing strategies whereby improving market competitiveness while maintaining profitability goals.