PBM Underwriting Professional - PBM

PBM Underwriting Analyst    (Remote)

Please ensure you read the below overview and requirements for this employment opportunity completely.

Role and Responsibilities

The Underwriting Analyst will be a highly motivated individual with experience in the PBM or Health Care industry and should be detailed oriented, analytical, and have experience with large data sets. The Underwriting Analyst will provide support of risk management by supporting the Underwriting Department with financial modeling and data analysis.  The Underwriting Analyst is required to perform, but not limited to, the following duties and undertake the following responsibilities in a professional manner :

• Analyze new business applications to determine risk factors and pricing.
• Use analytics to develop reporting models and methodologies for financial pricing.
• Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness and accuracy of financial pricing against claims to identify trends and draw insight to provide pricing recommendations.
• Apply mathematical techniques to analyze pharmacy data.
• Verify the accuracy of data used for analysis of financial pricing model including data manipulation.
• Maintain current knowledge of industry regulations and standards.
• Work with customers to gather additional information as needed.
• Maintain current knowledge of industry regulations and standards.
• Stay up-to-date on latest processes, procedures, and systems.
• Prioritize projects based on business needs and requirements.
• Abide by all obligations under HIPAA related to Protected Health Information (PHI).
• If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and / or Human Resources.
• Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
• Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.  Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice

What We Have to Offer

Our benefits package is designed to keep our employees healthy and happy - physically, mentally and financially.

Required Skills and Competencies

Position Type and Expected Hours of Work

Travel

This position could require 10%   travel from the remote location to include multiple nights.

Preferred Education and Experience

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge.  EOE M / F / D / V

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