Position Overview: As a PBM Underwriter, you will be a strategic team member that is key in both winning new and retaining existing business by compiling financial proposals that appeal to clients, while meeting MedOne goals.
About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.
What You'll Do:
- Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOnes profitability.
- Analyze pharmacy claims data and develop reports for operations, sales and other key business units.
- Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations
- Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement.
- Complete formulary and network disruptions to aid in the onboarding process of new clients
- Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.
- Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects
- Active participation and/or ownership in both quarterly and annual business unit priorities
- Other duties as assigned
What You Will Bring to MedOne:
- Bachelors Degree in Math, Computer Science, Statistics or IT preferred
- 1-3 years as a functional Data Analyst to include:
- Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience.
- Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
- System architecture and enterprise solution understanding.
- Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools
- Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
- Ability to think strategically and proactively
- Time management and prioritization skills.
- Incredible work ethic and energy.
Why Join MedOne? At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growthall while helping to make a difference in peoples lives. Our top core value is to prioritize your well-being . To support you in living this value, we offer:
- Competitive salary and bonuses that reward your performance.
- Comprehensive health, dental, and vision insurance + additional benefits
- 401(k) with company match to secure your future.
- Generous paid time off and holidays.
- Opportunities for professional growth and development.
- A vibrant and collaborative work culture.
Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.
Employment Type: Full Time, Salary/Exempt Position
Hours: Hours may vary within our normal business hours.
Reports to: Director of Underwriting
How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, wed love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page .
MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Offers are contingent on passing a background check and drug screen.