Manager, Pricing and Underwriting

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with Networks, Rebates, Sales Operations, and Account Management to secure and retain clients by showcasing Maxor’s value proposition.

• Assist in the creation of PBM financial offerings, including pricing for retail networks, mail orders, specialty, formulary rebates, and ancillary prices.

• Provide assistance with all Requests for Proposal requirements and positioning.

• Develop financial models based on an understanding of customer needs, costs, and financial objectives.

• Analyze qualitative and quantitative data and integrate insights into decision-making criteria.

• Leverage economic, financial, and industry data to accurately assess business strengths and weaknesses by channel, while identifying and acting on threats and opportunities.

• Aid in the development of financial models and present proposals in Executive Committee meetings.

• Implement the corporate contracting strategy as defined by established policies.

• Evaluate, manipulate, and derive relevant conclusions from market research, customer demands, and Maxor’s financial performance.

• Coordinate efforts to develop pricing strategies for external customers.

• Create financial pricing models that offer attractive deals to clients while ensuring Maxor’s ongoing financial viability.

• Collaborate with Account Management to analyze the performance of existing contracts.

• Ensure contract execution aligns with terms and monitor consistency across various customers.

• Present information in a clear and relevant manner to VytlOne executives, potential clients, and others.

• Keep staff informed about product upgrades or enhancements in a timely manner.

• Develop and mentor departmental staff by providing career guidance; motivate staff individually and as a team; promote diversity; and build an effective team.

• Support initial and annual performance evaluations.

• Foster teamwork; discipline staff when necessary.

• Swiftly report any allegations of impropriety to the Compliance Department.

• Adhere to VytlOne’s Ethical Business Conduct policy and Compliance Program.

• Maintain eligibility free from exclusion on the OIG and SAMS Medicare/Medicaid lists.

• Complete required training assignments within specified timeframes.

• Maintain consistent attendance in alignment with established policies.

• Perform other job-related tasks as assigned.

⛳️ Requirements

• Bachelor's degree in Finance or a related critical thinking field; advanced business degree (MBA) or CPA preferred.

• Experience in PBM or Health Plan environments.

• Proven track record in leading and managing critical strategic projects.

• Proficient in managing pricing processes that involve cross-functional collaboration.

• Experience interacting with various organizational levels, including leadership, peers, and junior team members.

• Skilled in developing financial models.

• Background in competitive analysis to gauge market positioning.

• Experience supporting business decisions with compelling business case presentations.

• Expertise in building models using Excel and other platforms.

• Experience creating presentations for business cases aimed at senior executives.

• Familiarity with statistical and/or predictive analysis.

• Experience working with multiple data sources.

🏝️ Benefits

• Comprehensive mental health and wellbeing resources.

• Nationwide Blue Cross Blue Shield PPO with an employee-friendly plan design, featuring an $850 individual annual medical deductible and $25 office visit copays, along with low biweekly premiums.

• Company-paid basic life/AD&D, short-term and long-term disability insurance.

• Prescription, dental, vision, other voluntary benefits, and FSA options.

• Employer-matched 401k Plan.

• Industry-leading PTO plan.