Remote Manager, Pricing & Underwriting Leadership

Navitus; Boise (ID); Remote; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match of up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro­f

Professional Membership assistance

Referral Bonus Program - up to $750!

Job summary

Navitus Health Solutions is expanding its team and seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and RFPs. This role reports to the Director and will mentor Supervisors and Analysts to deliver accurate, timely pricing decisions.

The position requires 4+ years in pricing/underwriting in PBM or related fields and at least 2 years of progressive leadership experience, with preference for PBM industry experience and strong

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, including leading individuals or teams, or equivalent leadership experiences such as coaching or mentoring, is required.
• Experience working in the pharmacy benefit management industry is preferred.
• Experience using financial valuation models and analyzing results is preferred.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

• 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.

Job description

Navitus Health Solutions is expanding its team and seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and RFPs. This role reports to the Director and will mentor Supervisors and Analysts to deliver accurate, timely pricing decisions.

The position requires 4+ years in pricing/underwriting in PBM or related fields and at least 2 years of progressive leadership experience, with preference for PBM industry experience and strong