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  • Sr Mgr Pharmacy Underwriting

    Health Care Service Corporation (Richardson, TX)



    Apply Now

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

     

    Join HCSC and be part of a purpose-driven company that will invest in your professional development.

    Job Summary

    Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. Interact with BCBSA and member plans.

    Required Job Qualifications:

    * Bachelor Degree and 5 years’ experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers **OR** 6 years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers.

    * 3 years of underwriting of higher complexity cases (if responsibility includes one or more of the following segments: large/major/national/and or special accounts (Labor Union, Student Health, IL Hospital, Co-operatives, Private Exchange, etc.) or OR Demonstrated capability to meet required job responsibility.

    * Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions.

    * Operational knowledge of renewal and prospective group health underwriting processes and procedures.

    * Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding.

    * Extensive experience applying consortium procedure and pricing (if applicable).

    * Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions.

    * Work management skills in prioritizing and assigning work and project assignments.

    * Demonstrated highly effective Presentation skills for addressing customers and senior management.

    * Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff.

    * Project management skills and experience, including designing and leading projects.

    * Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience.

    * Interact with BCBSA and member plans.

    * Interpret and describe BCBS products and financial arrangements as well as those provided by competitors.

    * Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships.

    * Independent judgment and problem resolution skills.

    * Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines.

    * PC proficiency to include Word and Excel.

    * Successfully demonstrated skills and experience in presenting to external clients.

    * Process management and process improvement experience and skills to identify and implement process changes.

    Preferred Job Qualifications:

    * Pharmacy Underwriting experience

    * Experience leading pharmacy underwriters

     

    Please note that this role is **HYBRID** with an in-office requirement of 3 days a week

    \#LI-LK1

    \#LI-Hybrid

    \#INJLF

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    Pay Transparency Statement:

    At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

     

    The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

    HCSC Employment Statement:

    We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

     

    Base Pay Range

     

    $100,000.00 - $180,700.00

     

    Exact compensation may vary based on skills, experience, and location.

     

    Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.

     

    Join our Talent Community. (https://hcsc.recsolu.com/app/collect/form/pmPA8v\_eHgqFiDb2AuRTqQ)

     

    For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

     

    Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

     

    HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

     

    If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

     

    Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

     

    Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

     

    Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

     

    • Copyright 2025 Health Care Service Corporation. All Rights Reserved.

     


    Apply Now



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