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Pharmacy Underwriting Analyst

Job Overview

As an Underwriting Analyst, you will be a strategic team member. Your role is key in winning new business and retaining existing clients by creating appealing financial proposals that meet MedOne goals. You will work closely with other key areas of the business to assist with the department’s continuous improvement of processes and keeping pace with the market, as it is ever-changing. Innovative, curious, , energetic, problem-solver, and possessing the desire to develop analytical and technical skills – if this describes you, then we welcome your application to become part of the MedOne team!

Company Information

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. 

Essential Job Functions

• Use proprietary Underwriting Model, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability.
• Analyze pharmacy claims data and develop reports for operations, sales and other key business units. 
• Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include: 
• Coordinating PBM data requests
• Completing financial evaluation
• Completing formulary and network evaluations
• Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement. 
• Complete formulary disruptions to aid in the onboarding process of new clients
• Ability to work closely with Subject Matter Experts (such as Clinical, Network Management, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.

Position Requirements

• Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred
• 0-2 years as a functional Data Analyst to include:
• Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience. 
• Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
• System architecture and enterprise solution understanding. 
• Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools
• Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
• Ability to think strategically and proactively.
• Time management and prioritization skills.
• Incredible work ethic and energy. 

Work Hours | Location

• This job can be at the corporate office in Dubuque, IA or remote within the United States.
• Full-time, salaried position, minimum of 40 hours per week

MedOne is an equal-opportunity employer.

Job Offers are contingent on passing a background check and drug screen.