Remote Pricing & Underwriting Manager

Navitus; Lincoln (NE); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health insurance

Paid time off (PTO)

Parental leave

Paid holidays

401K match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Referral Bonus Program

Job summary

Navitus Health Solutions is hiring a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analyses across the business. The role reports to the Director and mentors Supervisors and Analysts, developing pricing recommendations and models for new and renewal business.

You will collaborate with client teams, participate in meetings, and drive process improvements while ensuring compliant, well-documented pricing decisions and strong financial outcomes.

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 (leading individuals or teams, coaching, mentoring, or leading initiatives).
• Experience in the pharmacy benefit management industry preferred.
• Experience using financial valuation models and analyzing results preferred.
• Participation in, adherence to, and support of compliance program objectives.

Responsibilities

• Manage pricing and underwriting for new business, renewal business, client pricing requests, RFP responses, and ad hoc financial analyses.
• Lead, coach, and train supervisors and analysts to ensure accurate, timely, and consistent pricing, underwriting, and risk analysis deliverables.
• Oversee the interpretation and application of claims utilization, network pricing, rebates pricing, administrative fee pricing, and trends to inform pricing decisions.
• Develop, maintain, and use pricing models, risk evaluation models, and client profitability models used to evaluate opportunities.
• Evaluate pricing risk, financial exposure, and value from client relationships to support balanced recommendations.
• Maintain underwriting guidelines, pricing standards, approval processes, and QA practices to support compliant pricing decisions.
• Participate in client meetings and internal strategy discussions by communicating pricing approach and risk to diverse audiences.
• Support leadership reporting on pricing, profitability, risk exposure, and performance metrics.
• Identify process improvements and training opportunities to increase accuracy and business value.
• Mentor and develop team members to ensure a pipeline of future leaders and a culture of accountability.

Job description

Navitus Health Solutions is hiring a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analyses across the business. The role reports to the Director and mentors Supervisors and Analysts, developing pricing recommendations and models for new and renewal business.

You will collaborate with client teams, participate in meetings, and drive process improvements while ensuring compliant, well-documented pricing decisions and strong financial outcomes.