Sr Underwriting Consultant – Remote or Hybrid in Eden Prairie, MN
(Remote considered)
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges
Primary Responsibilities: The Senior Underwriting Consultant will analyze health benefit plan characteristics and assess risks as to frequency and potential severity of loss of clients. They will utilize underwriting criteria and policies to provide proper rating methodologies. They will also build and maintain models to assist in the economic analysis of market alternatives. The Senior Underwriting Consultant is responsible for the evaluation and recommend alternative pricing options and plan design changes based on economic analysis and trends.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- 5+ years of experience in healthcare underwriting for any variety of products: PPO, HMO, self-funded, ASO/fully-insured, group or individual
- 5+ years of experience with Risk Management
- Intermediate level of proficiency with MS Office suite (including Word, Excel and PowerPoint)
Preferred Qualifications:
- 5+ years of financial modeling and analytics
- 3+ years of experience in network pharmacy management and financial reconciliation
- 3+ years of experience in medical rebate and pharmacy rebate billing, contracting, and reconciliation
- 2+ years of experience of PBM Underwriting
- 2+ years of experience Conducting competitive analysis of all coverage lines and present financial and contractual findings
- Experience with C-Suite level presentations
- Experience preparing financial modeling for reserve calculation, budget calculation, and other ongoing reviews that directly aligns with client strategies
- Excellent communication skills, both orally and in writing
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
Información adicional sobre la vacante
Número de la requisición 2264931
Segmento de negocio Optum
Nivel del cargo Individual Contributor
Disponibilidad para viajar No
País US
Estado de horas extras Exempt
Vacante de teletrabajo Yes