Director, Underwriting

This is a fully remote position, open to applicants in Alabama, +45 more states.

📋 Description

• Conduct deal-specific underwriting by utilizing historical claims data, pharmacy network pricing, rebate commitments, and other pertinent deal inputs.

• Collaborate with Product, Pricing, and Sales teams to enhance deal-specific pricing and uncover potential savings opportunities.

• Oversee multiple simultaneous deals with evolving timelines, ensuring precision and adherence to underwriting standards.

• Manage deal-level rebate commitments with aggregators and lead the underwriting of complex or unconventional deal structures.

• Work alongside Finance to assess deal-level risks and evaluate margin adequacy.

• Analyze client and product profitability, providing insights on network economics, manufacturer contracts, specialty trends, and operational cost influences.

• Enhance underwriting tools, processes, and data integrity through automation and AI-driven capabilities while ensuring thorough and defensible documentation.

⛳️ Requirements

• Over 8 years of underwriting experience, with significant hands-on experience in PBM/pharmacy benefit underwriting for both new business and renewals.

• Recent practical experience in independently constructing and assessing pharmacy benefit pricing for self-funded employer groups.

• Profound knowledge of PBM economics, encompassing pharmacy network pricing, specialty utilization, rebates, guarantees, and margin drivers.

• Advanced Excel modeling capabilities, with proficiency in independently creating, analyzing, and adjusting complex underwriting models.

• Proven commercial acumen, with the capacity to assess risk, propose pricing strategies, and autonomously structure deals within established parameters.

• Ability to handle multiple intricate deals concurrently in a dynamic, high-accountability setting.

• Proficiency in utilizing AI-enabled tools to enhance modeling, analysis, and underwriting efficiency.

• Experience in pricing for mid-market and large employer groups.

• Familiarity with underwriting governance frameworks.

• Background in transparent or pass-through PBM settings.

• Experience in enhancing underwriting automation or tools.

• Work experience in an early-stage or scaling organization.

🏝️ Benefits

• Flexible time off, including 12 paid holidays.

• 401k matching contributions.

• 100% employer-paid premiums for medical, dental, and vision coverage.

• Company contributions to Health Savings Accounts.

• Stock options.