Ld Dir, PBM Underwriting

Description: • Lead a critical segment supporting a strategic PBM client division. • Identify and execute on opportunities to optimize client engagement and profitability. • Develop pricing offers that support client retention and growth. • Monitor financial performance of the division. • Provide consultative information and recommendations in plan design, distribution channel, underwriting new pharmacy contracts. • Increase revenue and profit margins. • Conduct market and competitive analyses to understand industry trends, client needs, and competitor offerings. • Engage with clients to understand specific needs and concerns. • Manage key performance indicators (KPIs) related to RFP success rates, turnaround times, and client satisfaction. • Provide regular reports and insights to senior management for strategic decision-making. Requirements: • 10+ years of prior underwriting or financial analysis experience • 8+ years of professional experience, preferably within a PBM or health plan. • 5+ years leading highly functional teams • Experience with health plans that are highly custom in their approach to pharmacy benefit services – complex pricing arrangements, custom formularies, clinical programs, channel solutions, and integrated benefit designs. • Requires knowledge of PBM profit levers, underwriting and financial models. • Understanding of healthcare and pharmacy claims data and common tools used to manipulate data. • Exceptional communication skills across the full spectrum of formal and informal channels and to multiple audiences, including external clients, consultants, internal partners, and executive leadership. • Proven ability to educate and influence external customers and internal partners. • Ability to manage and deliver on client expectations within assigned book of business. • Skilled at collaborating and working across a complex matrixed organization. • Experience working with varying levels of client contacts, including executive leadership, Chief Medical Officers, pharmacy department leadership, provider networks, actuaries, financial analysts, and consultants. • Broad knowledge of the overall enterprise infrastructure, including operational systems and data warehouses. Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Apply tot his job