Senior Pricing & Underwriting Manager (Remote)

Navitus; Topeka (KS); Remote; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health benefits & perks

PTO 20 days

Parental leave 4 weeks

Holidays 9

401K match

Adoption assistance

FSAs

Education assistance

Membership assistance

Referral bonus

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 RFPs. You will coach supervisors and analysts, develop pricing models, and drive compliant, data-driven decisions that support client profitability.

The role requires a Bachelor's degree and 4+ years in PBM pricing/underwriting, plus 2+ years of leadership.

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 or adjacent setting.
• 2+ years of progressive leadership experience.
• Experience 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.
• Ability to interact cooperatively and respectfully with other employees.

Responsibilities

• Manage pricing and underwriting 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 pricing, underwriting, and risk analysis deliverables.
• Oversee interpretation and application of claims utilization, network pricing, rebate pricing, and other data to inform pricing recommendations.
• Develop, maintain, and use pricing models, risk evaluation models, and client profitability models.
• Evaluate pricing risk, financial exposure, and value from client relationships.
• Maintain underwriting guidelines, pricing standards, and approval processes to support compliant decisions.
• Participate in client meetings and internal strategy discussions by 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 efficiency.
• Establish and develop team members through coaching and career planning.
• Other duties as assigned.

Skills

Leadership

Pricing analysis

Team coaching

Communication

Risk analysis

Education

Bachelor's degree in Statistics/Mathematics/Finance

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 RFPs. You will coach supervisors and analysts, develop pricing models, and drive compliant, data-driven decisions that support client profitability.

The role requires a Bachelor's degree and 4+ years in PBM pricing/underwriting, plus 2+ years of leadership.