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Job Summary

We are seeking a consummate leader and decision maker to guide our high performing underwriting team for our pharmacy (PBM) line of business. This team is responsible for underwriting accounts in compliance with HCSC’s goals and objectives and federal and state legislation, resulting in the sale and renewal of group business.

Job Responsibilities:

• Manages an underwriting team that underwrites accounts in compliance with HCSC’s goals and objectives, resulting in the sale and retention of group accounts.

• Plays a key role in developing, negotiating, and settling the financial aspects of performance guarantees (if applicable) and oversees separate pricing and arrangements for each of the network areas provided by participating BCBS Plans.

• Manages proposal and renewal volumes and adjust workloads to meet changing priorities and seasonal work. Identifies and assigns participants for committees, projects, and work groups.

• Acts as a consultant for financial meetings with external customers, brokers and consultants. Formulates strategies and presents renewals, proposals, and other financial strategies to select prospective and current accounts and their consulting houses.

• Delivers formal presentations (internal and external) and is able to communicate the content effectively.

• Directs, leads, and participates in special projects, workgroups, task forces, and committees. Serves as a technical resource for the Underwriting Division.

• *Monitors changes in market and underwriting environment and develops and implements changes to policy.

• Collaborates with marketing to analyze and obtain knowledge of the market environment and adjusting strategies to improve marketplace presence.

• Represent HCSC as a consultant/subject matter expert for financial meetings with external clients. Formulate strategies and present renewals, proposals, and other financial strategies to designated prospect and current accounts, consultants, and brokers.

• Participates directly with Marketing, Legal, and senior management in the design, negotiation, and implementation of accounts: specific performance guarantees, provider discount arrangements, and special financial arrangements.

• Identifies and anticipates customer needs, which includes designing and implementing systems, processes and services to meet or exceed customer expectations.

• Applies Audit Controls when completing settlements, ratings, etc.

• Develops, recommends and implements process improvements and solutions to process problems. Develops business cases (including ROI) and prepares plans for training, testing, implementation, and tracking.

• Responsible for staff adherence to established controls and identifying additional control needs. Review, approve, and implement responses to Divisional audit findings. Implement changes assigned by higher management.

• Provides effective coaching and mentoring to their team. Develops employees through coaching, feedback, one-on-one mentorship and training. Address team-specific issues with an eye towards impact to other teams and functions.

• Facilitates training and development for Marketing staff. Promotes and fosters development and improvement.

• Proactively provides input for UW policies and procedures, training needs, and other UW protocol

• Manages change initiatives that impact the staff and/or other stakeholders.

• Establishes and maintains positive relationships with Marketing, Actuarial, IL, Legal and other internal partners to achieve effective communication and collaboration.

• Provides cross team/cross functional support for Underwriting.

• Serves as a backup to the Sr. Director/Executive Director when needed

• Manages resource needs and expenses to approved budget.

• Responsible for establishing and collaborating with their assigned team in establishing goals, monitoring results, and creating and holding people accountable.

• Assists in system design and manages process changes and improvements. Identify problems, assess success of system implementations, and recommends system changes and process improvements.

• Manages and oversees the daily activities of the underwriting staff.

• Provides hiring/selection, performance management, goals and action plans, communica