Manager, Pricing and Underwriting

Navitus Health Solutions, LLC

Madison (WI)

On-site

USD 96,000 - 118,000

Full time

4 days ago

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Benefits offered by this job

Health, Dental, Vision insurance

20 days PTO

Parental leave

Holidays

401K match

Adoption Assistance

FSA

Educational Assistance

Referral Bonus Program

Job summary

Navitus Health Solutions, LLC is expanding its Pricing and Underwriting team in Madison, WI. The Manager, Pricing and Underwriting will lead core functions across pricing, underwriting, and risk analysis, guiding Supervisors and Analysts.

You will develop pricing strategies, evaluate financial risk, and support decisions for new and renewal business, including client pricing and RFPs. The role reports to the Director, Pricing and Underwriting and offers leadership opportunities, competitive

Qualifications

Bachelor’s degree in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business is required.
4+ years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting is required.
2+ years of progressive leadership experience, leading teams or complex initiatives is required.

Responsibilities

Manage pricing and underwriting functions for new and renewal business, client pricing requests, RFP responses, and financial analyses.
Lead, coach, and train supervisors and analysts to ensure accurate pricing, underwriting, and risk analyses.
Oversee interpretation of claims utilization, network pricing, rebate pricing, and related data to inform pricing recommendations.
Develop, maintain, and use pricing, risk, and client profitability models for opportunities and ongoing business.
Evaluate pricing risk and financial exposure to support Navitus’ objectives.
Maintain underwriting guidelines, pricing standards, and QA practices for consistent decisions.

Skills

Pricing

Underwriting

Financial analysis

Leadership

Team coaching

Education

Bachelor's degree in Statistics/Mathematics/Finance/Economics

Tools

Pricing models

Job description

Company

Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $96,481.24 - USD $118,382.22 /Yr.

STAR Bonus % (At Risk Maximum)

10.00 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Overview

Due to growth, we are adding a Manager, Pricing and Underwriting to our team.

The Manager, Pricing and Underwriting supports and manages core functions across the full scope of pricing, underwriting, and risk analysis. This position reports to the Director, Pricing and Underwriting and will provide leadership to Supervisors and Analysts. The Manager is responsible for developing pricing recommendations, evaluating financial risk, maintaining underwriting models, and supporting pricing decisions for new business, renewal business, client retention, and RFP opportunities.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc financial analyses.
Lead, coach, and train supervisors, and analysts, to support accurate, timely, and consistent pricing, underwriting, and risk analysis deliverables.
Oversee the interpretation and application of claims utilization, network pricing, pharmaceutical rebate pricing, administrative fee pricing, trend, government services impacts, client profitability, and other relevant data to inform pricing recommendations and financial decisions.
Direct the development, maintenance, and use of pricing models, risk evaluation models, and client profitability models used to evaluate prospective and current client opportunities.
Evaluate pricing risk, financial guarantee exposure, and value derived from client relationships to support balanced recommendations aligned with Navitus’ financial, strategic, and client retention objectives.
Maintain and apply underwriting guidelines, pricing standards, approval processes, policies, procedures, work instructions, and quality assurance practices to support consistent, compliant, and well-documented pricing decisions.
Participate in client-facing meetings, finalist presentations, and internal strategy discussions by communicating pricing approach, financial risk, and business value to technical and non-technical audiences.
Support periodic leadership reporting on pricing, underwriting, client profitability, business value, risk exposure, actual-to-expected performance, and related performance metrics.
Identify and implement process improvements, model enhancements, reporting improvements, training opportunities, and quality assurance practices to increase accuracy, efficiency, consistency, and business value.
Establish, mentor, and develop team members through coaching, feedback, and career planning, ensuring a pipeline of future leaders and a culture of accountability and growth.
Other duties as assigned.

Qualifications

What our team expects from you?

Bachelor’s degree, preferably in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business, required.
4+ years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting required.
2+ years of progressive leadership experience, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required.
Experience working in the pharmacy benefit management industry preferred.
Experience using financial valuation models and analyzing results preferred.
Participate in, adhere to, and support compliance program objectives.
The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?