Remote Pricing & Underwriting Lead

Navitus; Denver (CO); Remote; USD 120,000 - 150,000; Full time

Benefits offered by this job

Health insurance

Paid time off – 20 days

Parental leave – 4 weeks

Holidays – 9 days

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and PROS/Ü

Referral Bonus Program – up to $750

Job summary

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and RFP opportunities. The role reports to the Director and provides leadership to Supervisors and Analysts.

You will develop pricing recommendations, evaluate financial risk, maintain models, and support decisions aligned with Navitus’ objectives for client retention and profitability.

Qualifications

• Bachelor’s degree required in a quantitative or business field.
• 4+ years of pricing and/or underwriting experience in PBM, managed care, or adjacent setting.
• 2+ years of progressive leadership experience (coaching, mentoring, leading initiatives).
• Experience in the pharmacy benefit management industry preferred.
• Experience using financial valuation models and analyzing results preferred.
• Participate in and support compliance program objectives.
• Ability to interact cooperatively and respectfully with colleagues.

Responsibilities

• Manage pricing and underwriting for new and renewal business, RFP responses, and client pricing requests.
• Lead, coach, and train supervisors and analysts for accurate pricing, underwriting, and risk analysis deliverables.
• Oversee interpretation of claims utilization, network pricing, rebates, and data to inform pricing decisions.
• Develop and maintain pricing, risk, and client profitability models for opportunities.
• Evaluate pricing risk and client relationships to support Navitus’ objectives.
• Maintain underwriting guidelines, pricing standards, and approval processes for compliant decisions.
• Participate in client meetings and internal strategy discussions communicating pricing approach and financial risk.
• Support leadership reporting on pricing, underwriting, client profitability, and performance metrics.
• Identify process improvements and training opportunities to increase accuracy and efficiency.
• Mentor and develop team members to build future leaders.

Skills

Pricing & underwriting

Leadership

Financial risk analysis

Education

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

Tools

Pricing models

Underwriting guidelines

Job description

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and RFP opportunities. The role reports to the Director and provides leadership to Supervisors and Analysts.

You will develop pricing recommendations, evaluate financial risk, maintain models, and support decisions aligned with Navitus’ objectives for client retention and profitability.