Hybrid Senior Manager, Pharmacy Underwriting

at Health Care Service Corporation

• Job title: Senior Manager, Pharmacy Underwriting
• Job type: Full Time
• Experience level: Senior
• Salary: $100,000 - $180,700 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Chicago, United States

About the role

• Manager interpreting Blue Cross Blue Shield products and handling underwriting responsibilities at HCSC. Collaborating with BCBSA and member plans while managing complex accounts.

Responsibilities

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

Requirements

• 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 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 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, precisions, structure, and appropriate tone and level of detail for audience.
• Interact with BCBSA and member plans.
• Interpret and describe BCBS products and financial arrangements as well as those provided by competitors.
• Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships.
• Independent judgment and problem resolution skills.
• Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines.
• PC proficiency to include Word and Excel.
• Successfully demonstrated skills and experience in presenting to external clients.
• Process management and process improvement experience and skills to identify and implement process changes.

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement
• Other incentives