Manager, Pricing and Underwriting

Navitus Health Solutions

. Manage pricing and underwriting functions for new business, renewal business, client pricing requests, RFP responses, finalist presentations, and ad hoc financial analyses.

Posted 10/7/2026full-timeRemote • United StatesMid-LevelSenior💰 $96,481 - $118,382 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pricing and underwriting functions, including the development and application of pricing models and risk evaluation. Proven leadership in coaching and mentoring teams to enhance performance and ensure compliance with underwriting guidelines and pricing standards.

Highest-signal resume keywords

Pricing Model DevelopmentUnderwriting Guidelines ApplicationLeadership ExperiencePharmacy Benefit ManagementFinancial Valuation Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pricing AnalysisRisk EvaluationFinancial AnalysisData InterpretationStatistical ModelingClient Profitability AssessmentQuality Assurance PracticesProcess ImprovementTrend AnalysisClaims Utilization Analysis

Soft Skills

CoachingMentoringTeam DevelopmentInterpersonal CommunicationCollaboration

Industry Keywords

Pharmacy Benefit ManagementManaged CareRisk ManagementFinancial Guarantee ExposureCompliance Program Objectives

About the role

Key responsibilities & impact

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 relevant data.
Direct development, maintenance, and use of pricing models, risk evaluation models, and client profitability models.
Evaluate pricing risk, financial guarantee exposure, and value derived from client relationships.
Maintain and apply underwriting guidelines, pricing standards, approval processes, policies, procedures, work instructions, and quality assurance practices.
Participate in client-facing meetings, finalist presentations, and internal strategy discussions.
Support periodic leadership reporting on pricing, underwriting, client profitability, business value, risk exposure, actual-to-expected performance, and related metrics.
Identify and implement process improvements, model enhancements, reporting improvements, training opportunities, and quality assurance practices.
Establish, mentor, and develop team members through coaching, feedback, and career planning.
Perform other duties as assigned.

Requirements

What you’ll need

Bachelor’s degree, preferably in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business, required.
4+ years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or adjacent setting required.
2+ years of progressive leadership experience, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiatives or projects, required.
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.
The ability to consistently interact cooperatively and respectfully with other employees.
Residents must be located in one of the eligible U.S. states or Washington, DC.

Benefits

Comp & perks

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!
STAR Bonus % (At Risk Maximum): 10.00