Note: The job is a remote job and is open to candidates in USA. Optum is hiring a Senior Underwriting Consultant to assess risk and price employer and payer cases in line with enterprise objectives. The role supports underwriting strategy, financial modeling, complex proposals and renewals, and cross-functional partners across the health plan portfolio.
Responsibilities
- Analyze and underwrite complex employer and payer opportunities, ensuring pricing recommendations appropriately reflect risk, market dynamics, and business objectives
- Develop and maintain financial models, forecasts, and risk analyses to support new business and retention efforts
- Provide underwriting consultation and subject matter expertise to Sales, Account Management, Finance, and leadership teams
- Review complex proposals, renewals, and financial offers and provide recommendations that support profitability and growth objectives
- Identify trends, risks, and opportunities through detailed analysis of utilization, claims experience, and financial performance
- Support the evaluation and implementation of underwriting policies, methodologies, and best practices
- Collaborate with cross-functional teams to resolve underwriting issues and meet aggressive timelines
- Present underwriting recommendations and financial analyses to internal stakeholders and leadership
- Mentor and provide guidance to less experienced underwriters as needed, without direct supervisory responsibility
- Participate in strategic initiatives, process improvements, and special projects that enhance underwriting effectiveness
Skills
- 5+ years of financial analysis, pricing, and/or underwriting experience, with at least 3+ years within a healthcare environment
- 3+ years of experience working for or with a Pharmacy Benefits Manager (PBM) or in a consulting role supporting PBM clients
- Experience building complex financial models and conducting economic analyses
- Experience underwriting financial offers for existing and prospective clients using a variety of forecasting methodologies
- Experience developing and delivering presentations and communicating effectively through both verbal and written communication
- Experience working in a cross-functional environment with the ability to quickly learn and understand new business areas
- Progressive professional experience, preferably in underwriting, finance, healthcare consulting, or a related field
- Intermediate to advanced Microsoft Excel skills, including financial modeling, forecasting, and ad hoc analysis
- Pricing and underwriting experience within a PBM environment
- Experience supporting specialty pharmacy products and services
- Experience presenting recommendations to senior leaders and business stakeholders
- Experience mentoring junior analysts or underwriters
- Knowledge of healthcare, pharmacy benefit, and risk management concepts
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- Career development opportunities
- Development for other roles you may be interested in
- Remote work from anywhere within the U.S.; hires in the Minneapolis or Washington, D.C. area are required to work in the office a minimum of four days per week
Company Overview
Company H1B Sponsorship