Risk & Underwriting Senior Director, Retail Network - Evernorth Health Services (Hybrid)

The job profile for this position is Risk & Underwriting Senior Director, which is a Band 5 Management Career Track Role.

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ROLE SUMMARY:

This position will manage a team of underwriters in support of developing retail network pricing strategies for portfolio of clients. The Senior Director will be accountable for managing clients’ end to end retail network financials by serving as the strategic advisor through leveraging market competitive strategies, knowledge of supply chain economics, and conducting complex analyses. This role plays a vital part in achieving our goal to help clients drive down the cost of care.

• Lead a team of underwriters in the development of pricing strategies and underwrite offers to win and retain clients while also maximizing profitability

• Work with Sales and Account Management to review, strategize and analyze renewal and new sales opportunities for a portfolio of clients

• Responsible for effectively communicating with Senior Leadership, SAM and other business partners in the delivery of ESI opportunities to grow and manage financial results, including the preparation of strategic internal and external directed presentations

• Manage portfolio of clients to Strat Plan and Budget targets by managing client specific rate relief for retail network.

• Work with product areas to assist in the development of program pricing for clients.

• Provide senior leadership analyses to steer key internal initiatives and projects

• Champion continuous innovation and improvement to existing best practices

ESSENTIAL FUNCTIONS AND SCOPE OF JOB:

• Provide retail network specific underwriting support to SAM for renewing and new sales clients by providing senior leadership oversight to client-specific pricing strategies with competitive offers in the marketplace for RFPs, Direct Renewal and Market Checks.

• Oversee analytical, quantitative, and financial cost modeling for clients with varying lines of business including Commercial Employer Groups, Medicare Part D, Medicaid and Health Care Exchange and present to Senior Leadership

• Provide pricing support to SAM for all ad hoc analyses which have a potential financial impact. Ensure pricing model accuracy by reviewing, analyzing and reporting for all pricing requests that affect retail network.

• Provide support related to contracting process and install process.

• Work collaboratively with internal partners to ensure we are proposing financial offers in alignment with underwriting guidelines.

• Ensure consistent approach to market and BA’s

• Support Strat Plan, Budget, and Forecast development of Rate Relief, Pass-Through Shortfall, and Gross Margin

• Development of new strategic insights for positioning pricing and/or analytics to clients.

• Provide management of key internal initiatives and projects.

• Champion a superior team culture including training, recognition, and employee engagement.

THE PERSON

EXPERIENCE/KNOWLEDGE, EDUCATION & OTHER REQUIREMENTS:

• Bachelor’s degree in Business, Finance or a related field. An MBA and/or CPA is desirable

• At least 8+ years relevant work experience in pricing and/or underwriting

• Strategic thinker with strong critical thinking skills and the ability to solve complex problems

• Proficient project manager who is able to lead multiple processes and systems simultaneously and deliver on tight and moving deadlines

• Ability to drive change and create a new perspective using existing solutions

• Collaborative and accountable team player with the ability to "hold the line"

• Works independently with minimal guidance

• Strong relationship-building with internal and external partners

• Represents the organization in providing solutions to difficult technical issues associated with specific projects

• Effective verbal and written communication skills

• Entrepreneurial attitude; Ability to take ownership and deliver results; Experience in deal pricing and optimization or underwriting; Strong understanding of client analytics, financials, and value trade offs

• Proven ability to build strong, engaged, and effective teams

EXPECTED COMPETENCIES/BEHAVIORS:

• Strategic Judgement & Adaptability - Operates beyond their functional lane; leads through ambiguity and change, makes sound decisions with incomplete information.
• People Leadership & Culture - Develops talent, manages performance honestly, deliberately builds team identity and a high performing environment.
• Cross-Functional Leadership - Drives outcomes across teams and functions they do not control; builds influence; navigates competing priorities and peer-level friction.
• Strong in strategy development, communication and execution
• Strong business and financial acumen
• Client centric / customer focused
• Ability to build strong relationships with senior members of client organization
• Ability to build and manage strong internal teams
• Demonstrate the ability to negotiate cross functionally to drive client issues to resolution.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.