Calculated Hire
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PBM Underwriting Analyst
Hybrid – Birmingham, AL
Overview:
The Underwriting Department plays an integral role in supporting the financial “bottom line” for our insurance client. Its role is to establish appropriate premium rates and administrative fee levels for all customers based on the benefit levels selected. This is achieved through sound pricing, rating techniques, and trend analysis. Underwriting works closely with the Marketing Department to support sales efforts and to recommend benefit options that maintain financial viability for the customer. Underwriting also ensures timely and accurate groups setup and maintenance as well as providing reporting and other data.
Primary Responsibilities:
The PBM Underwriting Analyst position is responsible for assessing the quality of risk and providing financial quotes for new business experience rated local underwritten accounts. The position provides complete renewal analysis on existing local underwritten accounts and may perform analysis for self-funded health and pharmacy pricing. In addition, the Group Analyst supports customers by providing alternate benefit quotes, preparing ERISA reports, and completing ad hoc and other special reports.
Summary of Qualifications:
- Bachelor’s Degree (preferably in a quantitative discipline such as Mathematics, Statistics, Economics, Accounting, or Finance)
- Pharmacy Benefits Management experience highly preferred.
- Excellent written and oral communication skills.
- Demonstrated organizational skills.
- Experience in a position demonstrating a high attention to detail.
- Experience using tools such as GEMS, Access, Excel, and XLogic.
- Demonstrated problem-solving skills.
- Willingness to work with both internal and external staff.
- Demonstrated experience analyzing data.
- Experience in Pharmacy Benefit Management or Healthcare Industry preferred.
- Experience in Health Underwriting or Pricing preferred.
- ** Willing to fill at a higher level based on experience.**
- **This is a hybrid remote position.**
Calculated Hire provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.
JO-2403-143986