Remote Pricing & Underwriting Manager

Navitus; Oklahoma City (OK); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

PTO 20 days

Parental leave 4 weeks

9 holidays

401K match up to 5%

Adoption Assistance

Flexible Spending Account

Educational & Professional Membership

Referral Bonus

Job summary

Navitus Health Solutions seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across the full scope of activities. This role reports to the Director and will coach Supervisors and Analysts, developing pricing recommendations and ensuring compliant, data-driven decisions for new and renewing business, including RFPs.

You will oversee pricing models, profitability analyses, and client interactions, contributing to Navitus’ strategic objectives and client

Qualifications

• Bachelor’s degree required 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 in coaching/mentoring or leading initiatives.
• Experience in pharmacy benefit management industry preferred.
• Experience with financial valuation models and analyzing results preferred.
• Commitment to compliance and collaborative teamwork.”

Responsibilities

• Manage pricing and underwriting for new and renewal business, RFP responses, and client pricing requests.
• Lead, coach, and train supervisors and analysts to ensure accurate pricing and risk analysis deliverables.
• Oversee interpretation of claims utilization, network pricing, rebates, and other data to inform pricing decisions.
• Develop and maintain pricing, risk, and client profitability models used to evaluate opportunities.
• Evaluate pricing risk and client relationships to align with Navitus’ financial and strategic goals.
• Maintain underwriting guidelines, pricing standards, and quality assurance practices.
• Participate in client meetings and presentations to explain pricing approaches and financial risk.
• Support leadership reporting on pricing, underwriting, profitability, and performance metrics.
• Identify process improvements and model enhancements to increase accuracy and efficiency.
• Mentor and develop team members to ensure a pipeline of future leaders.

Skills

Pricing

Underwriting

Leadership

Financial analysis

Client comms

Modeling

Education

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

Job description

Navitus Health Solutions seeks a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across the full scope of activities. This role reports to the Director and will coach Supervisors and Analysts, developing pricing recommendations and ensuring compliant, data-driven decisions for new and renewing business, including RFPs.

You will oversee pricing models, profitability analyses, and client interactions, contributing to Navitus’ strategic objectives and client