Remote Manager, Pricing & Underwriting – Lead & Grow Team

Navitus; Frankfort (KY); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision coverage

Paid time off (20 days)

Parental leave (4 weeks)

401K company match (up to 5%)

Adoption assistance

Flexible Spending Account

Educational assistance & professional‑

Referral bonus up to $750

Job summary

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing and risk analysis across new and renewal business, client pricing requests, and RFPs. You will supervise and mentor analysts and supervisors, guiding pricing decisions with financial risk assessments and profitability considerations.

You will shape pricing models, apply underwriting standards, and ensure compliant, well-documented decisions while collaborating with leadership and clients to drive value.

Qualifications

• Bachelor’s degree in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business.
• 4+ years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting.
• 2+ years of progressive leadership experience, including leading teams or complex initiatives.
• Experience 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.
• Ability to interact cooperatively and respectfully with others.

Responsibilities

• Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc analyses.
• Lead, coach, and train supervisors and analysts to ensure accurate pricing and risk analyses.
• Oversee interpretation and application of claims utilization, network pricing, rebate pricing, administrative fees, trends, and government impacts.
• Develop, maintain, and use pricing, risk, and client profitability models for evaluations.
• Evaluate pricing risk and client relationships to support balanced recommendations.
• Maintain underwriting guidelines, pricing standards, and approval processes for compliant pricing decisions.
• Participate in client meetings and internal strategy discussions to communicate pricing approaches and risk.

Skills

Leadership

Financial analysis

Communication

Team coaching

Education

Bachelor's degree in Statistics/Mathematics/Finance/Actuarial Science/Economics/Risk Management/Business

Tools

Financial models

Pricing systems

Job description

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing and risk analysis across new and renewal business, client pricing requests, and RFPs. You will supervise and mentor analysts and supervisors, guiding pricing decisions with financial risk assessments and profitability considerations.

You will shape pricing models, apply underwriting standards, and ensure compliant, well-documented decisions while collaborating with leadership and clients to drive value.