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Manager – Pharmacy Underwriter

Manager – Pharmacy Underwriter

CompanyCVS Health
LocationSalt Lake City, UT, USA, Madison, WI, USA, Boston, MA, USA, Olympia, WA, USA, Indianapolis, IN, USA, Bismarck, ND, USA, Des Moines, IA, USA, Nashville, TN, USA, Harrisburg, PA, USA, Washington, DC, USA, Austin, TX, USA, Augusta, ME, USA, Jackson, MS, USA, Lincoln, NE, USA, Raleigh, NC, USA, East Lansing, MI, USA, Frankfort, KY, USA, Richmond, VA, USA, Annapolis, MD, USA, South Dakota, USA, Tallahassee, FL, USA, Salem, OR, USA, Concord, NH, USA, Topeka, KS, USA, Boise, ID, USA, Carson City, NV, USA, Trenton, NJ, USA, Little Rock, AR, USA, Sacramento, CA, USA, Albany, NY, USA, Cheyenne, WY, USA, Santa Fe, NM, USA, Columbus, OH, USA, Hartford, CT, USA, Springfield, IL, USA, Oklahoma City, OK, USA, Baton Rouge, LA, USA, Jefferson City, MO, USA, Phoenix, AZ, USA, Denver, CO, USA, Columbia, SC, USA, Montpelier, VT, USA, Atlanta, GA, USA, Helena, MT, USA, St Paul, MN, USA, Dover, DE, USA, Charleston, WV, USA, Montgomery, AL, USA
Salary$54300 – $159120
TypeFull-Time
DegreesBachelor’s
Experience LevelMid Level, Senior

Requirements

  • 3- 5 years of Pharmacy underwriting experience required for this role
  • Candidates must have both underwriting and pharmacy experience
  • Bachelor’s degree or equivalent experience

Responsibilities

  • Identifies training issues and recommends a course of action.
  • Leads process improvement initiatives to improve productivity, accuracy and/or customer service and influences tool development
  • Provides superior customer service
  • Mentors and trains underwriting staff and internal and external constituents
  • Ensures team members have the information to do their jobs
  • Understands, applies and explains company services, product standards, underwriting policies, strategic direction and new initiatives relative to unit’s responsibilities
  • Grants underwriting exceptions and financial variances within prescribed limit
  • Manages and/or participates on assigned projects and ensures project plans and/or work tasks are in alignment with overall goals
  • Participate in broker/customer meetings
  • Utilizes knowledge of competition and competitive position to evaluate risk and maximize profitability
  • Negotiates and explains rate development and application of underwriting policy
  • Analyzes problems or issues from different points of view to find the optimal solution
  • Evaluates and manages complex and/or high visibility cases, identifies risks and recommends appropriate measures to manage risks while growing or retaining membership
  • Assists team in meeting deadlines
  • Delivers quality financial products for new and renewal business
  • Builds strong cross-functional relationships with sales force and other internal organizations

Preferred Qualifications

  • Extensive knowledge of the Aetna systems supporting ASC Pharmacy pricing methodology.
  • Risk Assessment/Analysis
  • Communication
  • Negotiation
  • Adaptability