Sr Mgr Pharmacy Underwriting

Job Opportunity At HCSC

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. Interact with BCBSA and member plans.

• 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 / or 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 Demonstrated capability to meet required job responsibility.
• 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, precis ions, structure, and appropriate tone and level of detail for audience.
• Successfully demonstrated skills and experience in presenting to external clients.
• Process management and process improvement experience and skills to identify and implement process changes.

• Pharmacy Underwriting experience
• Experience leading pharmacy underwriters

Please note that this role is HYBRID with an in-office requirement of 3 days a week.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

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Exact compensation may vary based on skills, experience, and location.