Pharmacy Pricing & Underwriting Manager — Strategic Leader

Navitus Health Solutions, LLC; Madison (WI); On-site; USD 96,000 - 118,000; Full time

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

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