Pharmacy Underwriter

Underwriting is instrumental to securing the financial wellbeing of insurance companies. At Blue Cross Blue Shield of Massachusetts, Underwriters are valued partners in contributing to the organization's success by influencing business segments such as Marketing, Product Portfolio, Infrastructure Planning and Network Planning. In addition to account underwriting responsibilities, the Underwriter / Pharmacy Specialist will have opportunities to participate in project teams working to enhance both operational processes and strategic business initiatives. Working on a team with experienced Underwriters as well as peers, this is a great opportunity to deepen skills, contribute to a mission critical business function and develop your career.

This role is eligible for our Flex persona.

Key Accountabilities:

• Act as Liaison between Underwriting and Pharmacy departments representing Underwriting in strategy and implementation efforts.
• Act as Liaison between Underwriting Department and our PBM developing working relationships that drive partnership and accountability.
• Act as Underwriting Pharmacy SME supporting department in leading completion of RX quotes and RFPs
• Coordinate with Proposal Unit to ensure accurate and timely RFP completion.
• Consult with Actuarial Team to develop and implement ASC Pharmacy Pricing Strategies.
• Master complex components of pharmacy pricing being able to articulate competitive differences of BCBSMA and competitor proposals to internal and external audiences.
• Master utilization of Rx tracking and settlement processes and report results to leadership.
• Enforce adherence to Underwriting Guidelines and be responsible for approval of exceptions.
• Monitor and report on the profitability and persistency of the assigned book of business.
• Maintain consistent high level of service to our sales representatives and clients with respect to renewal and proposal timeliness and accuracy.
• Participate in the development of new products and rating methodologies.
• Meet and present and consult with colleagues in Sales and externally with senior client management and/or their consultant
• Confidently model and forecast complex analyses in a clear and concise manner and present to senior/executive levels of leadership (internally and externally) on a frequent basis.
• Identify areas for potential process improvement and take ownership/participate in their development and implementation across the department

Education/Relevant Experience:

• Undergraduate or Masters Degree is required.
• Minimum of seven years Pharmacy or related experience is required. PBM experience is a plus.
• Must have an extensive knowledge of Pharmacy programs, rebate optimization and modeling.
• Must possess superior oral and written communication skills with the ability to present information to a variety of audiences
• A creative problem solving ability is required.
• Ability to work in a fast paced, high-volume environment.
• Must be familiar with Microsoft Office.

#LI-HYBRID

High school degree or equivalent required unless otherwise noted above

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that theconfidence gapandimposter syndromecan prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting ourCompany Culturepage. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join ourTalent Communityto stay "in the know" on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.