Remote Pricing & Underwriting Leader

Navitus; Annapolis (MD); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health insurance

401K match of up to 5%

Paid time off 20 days

Parental leave 4 weeks

9 paid holidays

Adoption Assistance Program

FSA

Educational Assistance Plan

Professional Membership assistance

Referral Bonus Program – up to $750

Job summary

Navitus Health Solutions seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and client engagements. You will guide analysts and supervisors, develop pricing recommendations, and ensure compliant, data-driven decisions.

You will collaborate with cross-functional teams, communicate complex financial risks to both technical and non-technical audiences, and drive process improvements to enhance client value and profitability.

Qualifications

• Bachelor’s degree in a quantitative field is required.
• 4+ years pricing/underwriting experience in pharmacy benefit management or related setting.
• 2+ years of progressive leadership experience including coaching or leading teams.

Responsibilities

• Manage pricing and underwriting for new and renewal business, RFP responses, and client pricing requests.
• Lead, coach, and train supervisors and analysts to deliver pricing and risk analyses.
• Oversee interpretation of claims utilization, network pricing, rebate pricing, and client profitability.
• Develop and maintain pricing, risk, and client profitability models used to evaluate opportunities.
• Evaluate pricing risk and client value to support balanced recommendations.
• Maintain underwriting guidelines, pricing standards, approval processes, and QA practices.
• Participate in client meetings and presentations communicating pricing and financial risk.
• Support leadership reporting on pricing, profitability, risk, and performance metrics.
• Identify process improvements and model enhancements to increase accuracy and value.
• Mentor and develop team members to build future leaders and growth.
• Other duties as assigned.

Skills

Leadership

Coaching

Financial analysis

Pricing and underwriting

Education

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

Tools

Pricing models

Risk evaluation models

Client profitability models

Job description

Navitus Health Solutions seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and client engagements. You will guide analysts and supervisors, develop pricing recommendations, and ensure compliant, data-driven decisions.

You will collaborate with cross-functional teams, communicate complex financial risks to both technical and non-technical audiences, and drive process improvements to enhance client value and profitability.