Strategic PBM Underwriting & Analytics Leader

LucyRx Health Solutions, Inc.; United States; Remote; USD 140,000 - 200,000; Full time

Job summary

LucyRx Health Solutions, Inc. is seeking a Manager of PBM Underwriting & Analytics to lead underwriting analysts and drive pricing strategies for pharmacy benefit programs.

You will develop and refine analytical models, ensuring profitability and competitive positioning while collaborating with finance, operations, and clinical teams. The ideal candidate holds a bachelor’s degree in finance/BA/ Economics ( masters preferred) with 6+ years in underwriting/analytics in healthcare or insurance,

Qualifications

• Bachelor’s degree in finance, Business Administration, Economics, or a related field.
• A master’s degree or similar/relevant experience.
• Minimum of 6 years of experience in underwriting, analytics, or a related field within the healthcare or insurance industry, with at least 4 years in a leadership role.
• Strong knowledge of pharmacy benefit management and the pharmaceutical industry.

Responsibilities

• Implement underwriting for PBM programs, including pricing strategies and risk assessment.
• Apply underwriting guidelines and procedures for consistency and accuracy.
• Evaluate and approve complex underwriting decisions and proposals.
• Identify market trends, threats, and opportunities for innovation.
• Drive profitability and competitive positioning initiatives.
• Collaborate with finance, operations, and clinical teams to align strategies.
• Build strategic relationships with consultants, brokers, and industry leaders; share findings with leadership.
• Leverage analytics tools to enhance underwriting processes.
• Stay current with industry trends and tech advancements to improve practices.

Skills

Data analysis

Financial modeling

Leadership

Communication

SQL

Excel

BI tools

Strategic thinking

Education

Bachelor’s degree in Finance/Business Administration/Economics

Master’s degree or relevant experience

Tools

Power BI

Tableau

Job description

LucyRx Health Solutions, Inc. is seeking a Manager of PBM Underwriting & Analytics to lead underwriting analysts and drive pricing strategies for pharmacy benefit programs.

You will develop and refine analytical models, ensuring profitability and competitive positioning while collaborating with finance, operations, and clinical teams. The ideal candidate holds a bachelor’s degree in finance/BA/ Economics ( masters preferred) with 6+ years in underwriting/analytics in healthcare or insurance,