AVP Underwriting - REMOTE

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

The Assistant Vice President of Pricing and Underwriting is responsible for the execution of innovative pricing and go to market strategies, working closely with Prime's clients to expand business and create revenue. This role will translate complex pricing strategies into specific initiatives to drive implementation and execution, and will lead a team of actuaries, underwriters and analysts in the development and maintenance of competitive contract language and pricing recommendations for all RFPs.

Responsibilities

• Lead a team responsible for the execution, analysis and underwriting of competitive pricing strategies, including creating aggressive pricing recommendations, developing and negotiating competitive contract language, and working closely with clients to win and retain employer pharmacy business
• Lead client consultation as they navigate the complex pharmacy pricing environment by providing guidance on Prime recommended strategies with support around risk management strategies
• Assistance with occasional consultant engagements in partnership with Prime’s health plan clients
• Demonstrate a deep understanding of pricing fundamentals and competitive drivers that demonstrate Prime's value proposition and to win new business
• Partner with internal stakeholders and business leaders across Finance, Sales, Network Management, Trade Relations, and Clinical to develop, recommend, communicate, sell, and implement competitive pricing strategies; monitor implemented strategies and improve performance on an ongoing basis
• Partner with internal stakeholders in to develop aggressive pricing strategies aimed at the employer market; consult and collaborate with health plan clients to implement strategies in order to win and retain employer pharmacy business
• Develop and foster a culture of continuous improvement, working with direct reports to provide guidance and direction on appropriate improvements to support future growth
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in Mathematics, Actuarial Science, Economics, Finance or related field, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 12 years of work experience in financial analysis, healthcare, benefits consulting, actuarial and underwriting or financial services field to include 7 years of experience working with pricing and profitability models
• 8 years leadership/people management experience
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Strong client consulting presence: ability to distill complex material into easy-to-understand presentations, effectively respond to questions and engage a variety of audiences
• Experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients' complex pharmacy benefit challenges
• Excellent quantitative, problem solving, and analytical skills
• Strong understanding of pharmacy plan design

Preferred Qualifications

• Actuarial designation (ASA or FSA)
• Technical background in underwriting and risk adjusted rate setting
• Previous Pharmacy Benefits Management (PBM) experience

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

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

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 (including pregnancy), 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.