Associate Director, Pharmacy Underwriting

Title: Associate Director, Pharmacy Underwriting

Location: Boston United States

Job Description:

What we need:

The Associate Director of Pharmacy Underwriting will be responsible for the overall management of the Pharmacy Underwriting Team. The leader will be required to inspire, motivate, and direct a team of three underwriters to profitably grow and retain accounts. In scope of the position is pharmacy representation within Underwriting Leadership meetings and projects in support of divisional goals. The leader will also act as an interdepartmental and cross-functional liaison in alignment with strategic vision and BCBSMA organizational objectives.

Your day to day:

In this role, you'll provide both strategic direction and day to day team guidance to maintain expert underwriting support and meet the needs of the organization. This includes pharmacy quoting and RFP completion, ensuring timely turnaround times and deadlines are met while also fostering an environment that rewards creativity and encourages thoughtful risk-taking.

You'll also act as a liaison between:

• Underwriting and Pharmacy Sales teams representing Underwriting in strategy and implementation efforts.

• Underwriting and our PBM developing working relationships that drive partnership and accountability.

• Underwriting and Actuarial to develop and implement ASC Pharmacy Pricing Strategies.

• Master complex components of pharmacy pricing being able to articulate competitive differences of BCBSMA and competitor proposals to internal and external audiences. This includes the development of creative pricing strategies which achieve team profitability, revenue and membership targets. Manages pharmacy tracking and settlement processes and report results to leadership. Partners with Pharmacy, Sales, Actuarial, and Reporting to enhance and support corporate initiatives, processes, and procedures along with achieving business objectives.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties.

This position is eligible for the Flex persona.

We're looking for:

• Someone who demonstrates a high level of motivation with a strong record of professional accomplishment and leadership, including proven experience of handling issue escalation and prioritization of processes.

• A positive, inspiring leader who embodies a growth mindset and exemplifies excellent strategic thinking, analytical skills and definitive decision-making based on authority levels outlined.

• The ability to lead and manage the work of others in an efficient manner; understands priorities and has a sense of urgency. Proven ability to work independently as well as part of a team.

• A balance of high level of customer service while maintaining fiscal responsibility.

• Proven track record of recommending efficient and effective workflows in conjunction with internal and external constituents.

• The ability to communicate (both orally and in writing) at all levels within the organization using tact and diplomacy.

What you bring:

• Minimum of 10 years underwriting, Pharmacy or related experience is required. PBM experience is a plus.

• Five years of management experience required.

• Required extensive knowledge of Pharmacy programs, health benefit programs and financial arrangements from both a risk and cash flow aspect.

• An Undergraduate degree from an accredited college or university is required; a Masters degree highly desirable.

• Must possess superior oral and written communication skills with the ability to present information to a variety of audiences.

• Ability to work in a fast paced, high-volume environment.

What you'll gain:

• A collaborative department with a strong leadership team who embodies a growth mindset and authentically leads Blue Cross Blue Shield of Massachusetts in maintaining financial stability and balancing membership and affordability across all market segments.

• Flexibility and work/life balance with the Blue Cross Blue Shield of Massachusetts hybrid work model.

• A mission-driven organization with strong company values that provides comprehensive, holistic well-being benefits.

#LI-HYBRID

Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

Location

Boston

Time Type

Full time

Weekly Hours

37.5

Grade of Position

H

Salary Range: $150,480.00 - $183,920.00

Number of Openings Available

1

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our Talent Community to stay "in the know" on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.