Remote Strategic Pricing & Underwriting Manager

Navitus; City of Albany (NY); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

401K company match

Job summary

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across the full scope of pricing, underwriting, and client profitability initiatives.

You will report to the Director, Pricing and Underwriting and provide leadership to Supervisors and Analysts, developing pricing recommendations and supporting decisions for new business, renewals, client retention, and RFP opportunities.

Qualifications

• Bachelor's degree in a relevant field.
• 4+ years pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting.
• 2+ years of progressive leadership experience.
• Experience working in the pharmacy benefit management industry preferred.
• Experience using financial valuation models and analyzing results preferred.
• Participate in, adhere to, and support compliance program objectives.

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 pricing and risk analysis deliverables.
• Oversee interpretation and application of claims utilization, network pricing, pharmaceutical rebate pricing, and other data to inform pricing recommendations.
• Direct development, maintenance, and use of pricing models and risk evaluation models.
• Evaluate pricing risk and client profitability to support balanced recommendations.
• Maintain underwriting guidelines, pricing standards, and approval processes to support compliant pricing decisions.
• Participate in client meetings and internal strategy discussions communicating pricing approach and financial risk.
• Support leadership reporting on pricing, underwriting, client profitability, and performance metrics.
• Identify process improvements and training opportunities to increase accuracy and value.
• Mentor and develop team members for future leadership.

Skills

Leadership experience

Pricing & underwriting experience

Analytical thinking

Cross-functional collaboration

Education

Bachelor's degree

Job description

Navitus Health Solutions is seeking a Manager, Pricing and Underwriting to lead pricing, underwriting, and risk analysis across the full scope of pricing, underwriting, and client profitability initiatives.

You will report to the Director, Pricing and Underwriting and provide leadership to Supervisors and Analysts, developing pricing recommendations and supporting decisions for new business, renewals, client retention, and RFP opportunities.