Prime Therapeutics

Senior Underwriter - Health Plan - Remote

Prime Therapeutics$81K — $138K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in mathematics, accounting, or a related field, or equivalent work experience; HS diploma or GED required
  • 5 years of relevant work experience in Finance or Accounting
  • Eligibility to work in the U.S. without needing work visa or sponsorship
  • Prior experience in the PBM and/or healthcare industry
  • In-depth understanding of mathematical applications in underwriting

Responsibilities

  • Evaluate complex customer and prospect financial utilization experiences
  • Perform claims re-pricing analyses on intricate external claims data
  • Support Sales, Marketing, and Client Engagement in client presentation development and pricing negotiations
  • Consult with other departments on issues with financial implications
  • Perform other duties as assigned

Benefits

  • Comprehensive health insurance
  • 401(k) plan with employer matching
  • Flexible work arrangements and remote options
  • Professional development opportunities
  • Employee assistance programs
Full Job Description
Job Posting Title

Senior Underwriter - Health Plan - RemoteJob Description

The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime's book of business. Under minimal supervision, the Senior Underwriter serves as an expert consultant on matters pertaining to underwriting, performance guarantees and other financial considerations. Provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis. Maintains and applies knowledge of pricing strategies in the PBM industry. Maintains a positive working relationship with Sales, Marketing and Client Engagement and other key business owners within Prime.

Responsibilities

  • Evaluates the utilization and financial experience of customers and prospects, many of which are very complex
  • Performs claims re-pricing analyses for the most complex external claims data
  • Provides support to Sales, Marketing and Client Engagement, assisting in the development of client presentations and negotiations pertaining to pricing and guarantees
  • Consults with other departments such as Legal, IT, HPS and Marketing, and participates in meetings as required on issues that have financial implications
  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in mathematics, accounting, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of related work experience in Finance or Accounting
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

  • Prior work experience in the PBM and/or healthcare industry
  • In-depth knowledge of mathematical applications used in underwriting function is required, including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems
  • Ability to effectively present information and respond to questions in one-on-one or small group situations
  • Proficient in MS Office applications, particularly Excel, Word and PowerPoint

Preferred Qualifications

  • 2 years as a Senior Underwriter or Benefits Consultant
  • Proficient with Salesforce.com

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.

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.

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

About Prime Therapeutics

Prime Therapeutics is a pharmacy benefit management company that serves health plans, employers, and government programs. The company was founded in 1998 and is headquartered in Eagan, Minnesota. Prime Therapeutics manages prescription drug benefits for more than 30 million people across the United States. The company's services include claims processing, formulary management, and clinical programs. Prime Therapeutics is owned by 18 Blue Cross and Blue Shield health plans. In 2017, the company reported revenue of $5.3 billion.
Learn more about Prime Therapeutics
Size
4,000 employees
Industry
Founded
1990

Similar Jobs

More Jobs at Prime Therapeutics

More Healthcare Jobs

Find similar Senior Underwriter - Health Plan - Remote jobs: