Apply on Employer Site

Health Care Service Corporation · 4 days ago

Sr Mgr Pharmacy Underwriting

Chicago, IL

Full-time

Hybrid

Senior Level

$102K/yr - $184K/yr

5+ years exp

Health Care Service Corporation (HCSC) is a purpose-driven company that invests in the professional development of its employees. They are seeking a Senior Manager of Pharmacy Underwriting to interpret and describe BCBS products and financial arrangements, interact with BCBSA and member plans, and manage complex underwriting cases.

Health InsuranceInsurance

Growth Opportunities

H1B Sponsor Likely

Responsibilities

Interpret and describe BCBS products and financial arrangements as well as those provided by competitors

Interact with BCBSA and member plans

Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions

Operational knowledge of renewal and prospective group health underwriting processes and procedures

Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding

Extensive experience applying consortium procedure and pricing (if applicable)

Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions

Work management skills in prioritizing and assigning work and project assignments

Demonstrated highly effective Presentation skills for addressing customers and senior management

Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff

Project management skills and experience, including designing and leading projects

Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience

Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships

Independent judgment and problem resolution skills

Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines

PC proficiency to include Word and Excel

Successfully demonstrated skills and experience in presenting to external clients

Process management and process improvement experience and skills to identify and implement process changes

Qualification

Underwriting experienceUnderwriting methodologiesProject management skillsPharmacy underwriting experiencePC proficiencyPresentation skillsWork management skillsIndependent judgmentProcess management experienceInterpersonal skillsCommunication skills

Required

Bachelor Degree and 5 years' experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers OR 6 years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers

3 years of underwriting of higher complexity cases (if responsibility includes one or more of the following segments: large/major/national/and or special accounts (Labor Union, Student Health, IL Hospital, Co-operatives, Private Exchange, etc.) or OR Demonstrated capability to meet required job responsibility