Overview
The primary role of the Manager of Pricing and Underwriting is to lead the organization’s pricing and underwriting team members: Senior Pricing Analyst, Pricing and Underwriting and Pricing Analyst, Pricing and Underwriting. Responsibilities include assisting in the creation and implementation of pricing and underwriting policies and procedures, development and enhancement of analytical tools and methodologies, supporting engagement with clients, consultants, and brokers, and supporting market leading pricing and underwriting strategies.
Position Location
This is a remote-based position within the Continental US.
Our Company
Maxor is an industry leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated pharmacy care solutions. We help health systems and hospitals strengthen their role as community hubs. Our combined offerings give patients access to vital medicines, treatments, and health services while creating pharmacy value for the system. From filling prescriptions for employees in their own pharmacies to offering access to broader networks and limited distribution drugs, we provide the technology, relationships, and expertise to make it happen.
Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it’s through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions. With a legacy of exceptional service and deep clinical and pharmacy expertise, Maxor has been a trusted partner enabling pharmacy care since 1926.
Why Join Maxor?
At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients while ensuring their own well-being; finding fulfillment in meaningful work, competitive compensation, comprehensive benefits, diverse and inclusive teams, and limitless career possibilities.
With a growing workforce of 1,300+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Responsibilities
- Work in partnership with Networks, Rebates, Sales Operations, and Account Management to win and retain clients through demonstrating Maxor’s value proposition
- Support the development of PBM financial offerings including the pricing for retail network, mail order, specialty, formulary rebate, and ancillary prices
- Provide support with all Requests for Proposal requirements and positioning
- Prepare financial models based on knowledge of customer needs, costs and financial goals
- Analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
- Utilize economic, financial, and industry data to accurately diagnose business strengths and weaknesses by channel, as well as able to analyze and act on threats and business opportunities
- Support the development of financial models and present deals in Executive Committee meetings
- Execute the corporate contracting strategy as determined by established policies
- Analyze, manipulate, and draw relevant conclusions based on research of the market, customer demands and Maxor’s bottom line
- Coordinate activities necessary to put together pricing strategy for outside customers
- Prepare financial pricing models to offer attractive deals to customers while ensuring Maxor’s ongoing financial success
- Partner with Account Management to conduct analyses of performance of existing contracts
- Ensure contract execution is consistent with contract terms and monitor consistency of contract terms across various customers
- Present information in a meaningful and relevant manner to Maxor executives, potential customers, etc.
- Must be able to cope with the mental and emotional stress of the position
- Ensure staff is informed of product upgrades or enhancements in a timely manner
- Develop and mentor departmental staff by providing career coaching; motivate departmental staff, individually and as a group; understand and support diversity; and establish an effective team
- Support initial and annual performance evaluations
- Promote teamwork; discipline staff when warranted
- Promptly report any allegations of impropriety to the Compliance Department
- Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
- Complete required training, as assigned, within the established timeframes
- Maintain regular attendance in accordance with established policies
- Perform other job-related duties as assigned
Qualifications
Education:
- Bachelor’s degree in Finance or other critical thinking major; advanced business degree (MBA) CPA preferred
Experience:
- Experience in PBM or Health Plan
- Experience leading and managing critical strategic projects
- Experience managing pricing processes that involve cross-functional partners
- Experience working with various levels of the organization including leadership, peers, and junior team members
- Experience developing financial models
- Experience performing competitive analysis to understand market position
- Experience supporting business decisions with business cases presentations
- Expertise building models in Excel and other platforms
- Experience developing presentations to present business cases to senior executives
- Experience with statistical and/or predictive analysis
- Experience working with multiple data sources
Knowledge, Skills, and Abilities:
- Proven ability to interpret and manage contracting legal language and terms
- Demonstrated ability to coach, develop, and mentor a team of direct reports
- Strong financial acumen and analytical skills, with the ability to translate insights into business impacts and actionable next steps
- Able to effectively manage competing priorities with strong sense of urgency
- Able to effectively shift priorities of reports to solve immediate business issues
- Developing knowledge of payor, pharmacy, retail, GPOs and the contracting process within those organizations
- Possess an in depth understanding of the various Legal and Compliance implications within PBM in order to ensure risk mitigation
- Ability to effectively communicate and influence cross-functional stakeholders on complex business proposals and to accurately interpret business considerations and impacts
- Advanced Microsoft Excel skills
- Understanding of the legal/regulatory environment
- Strong written and verbal communication skills
- Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
- Proven teamwork and collaboration skills with a demonstrated track record leading highly matrixed, cross-functional work teams comprised of analysts, sales persons, and account managers
- Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners (e.g. peers, functional partners, external vendors and alliance partners) typically mid management
- Ability to use analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
- Strong understanding of the PBM market, supply chain management and financial modeling.
WE OFFER
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.
We offer highly competitive compensation and comprehensive health benefits including:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
- And more!
Apply today at https://www.maxor.com/careers/
Maxor is an EOE, including disability/vets
