Job DescriptionTHE IDEAL CANDIDATE WILL HAVE EITHER MANAGED CARE OR PBM EXPERIENCE.
Executes on the overall Underwriting strategy based upon corporate goals and guidelines. Will facilitate the enhancement of the P&L and data analysis process for efficient pricing of offers. This position will work with various departments within the company as well with employees within the finance department to ensure terms, conditions and pricing guarantees are correlated to the approved Profit & Loss.
- Completes financial requirements for RFP?s (Request for Proposals) and support the sales and marketing staff during the process.
- Analyzes claims detail data from claims processing system, as well as analyzing external claims data in various formats.
- Provides support to Underwriting team, Account Management and Proposal team to aid in new business and account retention
- Prepares and analyze internal /ad-hoc reports for management on a timely basis.
- Develops financial models based on client specific requests.
- Based on quantitative and qualitative evidence, consults clients in a manner that will positively impact Magellan and Client.
- Develops analytical methods to optimize contract profitability.
- Facilitates in contract development and execution.
- Travels to client location on a quarterly basis to lead financial discussion and consult client on cost management strategies and programs.
General Job Information
TitleSr. Manager, Pricing and Underwriting - Remote Opportunity
Job FamilyFinance Group
CountryUnited States of America
FLSA StatusUnited States of America (Exempt)
Recruiting Start Date2/11/2019
Date Requisition Created2/7/2019
EducationBachelors (Required), Masters
License and Certifications - Required
License and Certifications - PreferredCPA - Certified Public Accountant - Enterprise
Other Job Requirements
- Comprehensive understanding of PBM products, revenue levers and cost drivers to creatively recommend pricing that is market competitive while meeting financial goals of Magellan.
- Knowledge of underwriting principles in a managed care environment.
- Excellent written and communication skills.
- Ability to self-start and work independently.
- Good analytical, reasoning and problem solving skills.
- Strong organizational skills and must be able to adhere to strict deadlines.
- Willingness to learn new product lines and adapt to changing environment.
- Strong working knowledge Microsoft Office Product suite, specifically Excel, and experience with managing large data sets with tools such as MS Access.
- Actuarial pricing experience required.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.
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