Remote Pricing & Underwriting Manager | Lead Risk & Growth

Navitus; Lansing (MI); Remote; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

20 days paid time off

4 weeks parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Prof. 

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 client pricing requests. The role reports to the Director and will mentor Supervisors and Analysts while shaping pricing recommendations.

You will develop and maintain pricing and risk models, evaluate financial risk, and guide pricing decisions for Navitus’ client base, supporting growth, profitability, and strategic objectives.

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.
• Experience in pharmacy benefit management industry and financial valuation models preferred.

Responsibilities

• Manage pricing and underwriting for new business, renewal business, client pricing requests, RFP responses, and related analyses.
• Lead, coach, and train supervisors and analysts to ensure accurate pricing, underwriting, and risk analyses.
• Oversee interpretation of claims utilization, network pricing, rebate pricing, and other data to inform pricing decisions.
• Develop and maintain pricing, risk, and client profitability models used for evaluating opportunities.
• Evaluate pricing risk and client relationships to align with Navitus' financial and client-retention goals.
• Maintain underwriting guidelines, pricing standards, and related processes to ensure compliant, well-documented decisions.

Skills

Pricing knowledge

Underwriting experience

Leadership

Financial analysis

Education

Bachelor's degree in Statistics/Math/Finance/Economics

Job description

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across new business, renewals, and client pricing requests. The role reports to the Director and will mentor Supervisors and Analysts while shaping pricing recommendations.

You will develop and maintain pricing and risk models, evaluate financial risk, and guide pricing decisions for Navitus’ client base, supporting growth, profitability, and strategic objectives.