Remote Pricing & Underwriting Manager - Lead & Optimize

Navitus; Harrisburg (Dauphin County); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Top health, dental, and vision insurer

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro/MB

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 and renewal business, client pricing requests, and RFP opportunities. You will develop pricing recommendations, manage models, and guide Supervisors and Analysts.

The role reports to the Director, Pricing and Underwriting, mentoring team members, and driving financial value for clients while upholding compliance and governance standards.

Qualifications

• Bachelor’s degree in statistics, math, finance, actuarial science, economics, risk mgmt, or business.
• 4+ years pricing and/or underwriting experience in pharmacy benefit mgmt or related field.
• 2+ years of progressive leadership experience.
• Experience in PBM industry preferred.
• Experience using financial valuation models.
• Participate in, adhere to, and support compliance program objectives.
• Collaborate effectively with cross-functional teams.

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 interpretation and application of claims utilization, network pricing, pharmaceutical rebate pricing, administrative fee pricing, trend, government services impacts, client profitability, and other data to inform pricing recommendations.
• Direct the development, maintenance, and use of pricing models, risk evaluation models, and client profitability models used to evaluate client opportunities.
• Evaluate pricing risk, financial guarantee exposure, and value derived from client relationships to support balanced recommendations.
• Maintain and apply underwriting guidelines, pricing standards, approval processes, policies, procedures, work instructions, and QA practices.
• Participate in client-facing meetings, finalist presentations, and internal strategy discussions by communicating pricing approach, financial risk, and business value.
• Support leadership reporting on pricing, underwriting, client profitability, business value, risk exposure, actual-to-expected performance, and KPIs.
• Identify and implement process improvements, model enhancements, reporting improvements, training opportunities, and QA practices.
• Establish, mentor, and develop team members through coaching and career planning.
• Other duties as assigned.

Skills

Pricing strategy

Underwriting

Leadership

Financial risk analysis

Stakeholder communication

Education

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

Tools

Pricing models

Financial valuation tools

Job description

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new and renewal business, client pricing requests, and RFP opportunities. You will develop pricing recommendations, manage models, and guide Supervisors and Analysts.

The role reports to the Director, Pricing and Underwriting, mentoring team members, and driving financial value for clients while upholding compliance and governance standards.