Sr Analyst, Pharmacy Underwriter
Core
Develop competitive and profitable financial offers for new and renewal self-insured pharmacy pricing cases, including RFP responses.
Role type
Senior Analyst, Pharmacy Underwriter
Builds
Financial offers and pricing strategies for ASC (self-insured) pharmacy clients
Domain
Health insurance / Pharmacy underwriting
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Pharmacy underwriting, risk assessment, financial analysis, negotiation, process improvement, training and mentoring
Preferred skills
Knowledge of Aetna systems, risk analysis
Technologies
Aetna systems
Responsibilities
Develop financial offers for new and renewal pharmacy pricing cases, lead process improvement initiatives, mentor and train underwriting staff, grant underwriting exceptions and financial variances, negotiate rate development and underwriting policy, evaluate complex cases to manage risks and grow membership, participate in broker/customer meetings
Seniority
Senior, hands-on IC with mentorship duties