Anticipated End Date:
2024-10-04

Position Title:
Staff VP PBM Pricing & Underwriting

Job Description:

Staff VP PBM Pricing and Underwriting

Location: Located within commuting distance to an Elevance Health office in: IN, GA, IL, MN, CT.

Summary

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Staff VP of PBM Pricing and Underwriting will be responsible for overseeing all pricing and underwriting activities for CarelonRx. This critical leadership role will be responsible for several strategic initiatives and providing analytical support for sales and account management. Primary duties may include but are not limited to:

Team Scope

Staff VP of PBM Pricing and Underwriting will supervise a team of 38 with 7 direct reports.

Position Responsibilities

• Leads a team of pharmacy underwriters who are responsible for quickly preparing a high volume of thoughtful, accurate, market-leading RFP responses for new and renewal business.
• Partners with FP&A to ensure accurate budgeting for changes to revenue and margin from new, renewal and terminating clients.
• Partners with the Corporate Development team to conduct due diligence on acquisition opportunities.
• Partners with Sales leaders to establishes pricing targets to support long-term growth plan and track deals accordingly.
• Acts as subject matter expert on the technical aspects of Rx pricing and helps to model synergy opportunities.
• Trains, coaches, counsels, and evaluates performance of direct reports.

Position Requirements

Requires BA/BS in a related field and a minimum of 12 years related experience, including prior management experience; or any combination of education and experience, which would provide an equivalent background. FSA and/or MBA preferred.

Preferred Skills, Capabilities and Experiences

Experience in PBM Pricing and Underwriting

Job Level:
Staff/Regional VP

Workshift:

Job Family:
ACT > Actuarial

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.