Manager, Pricing and Underwriting

This is a fully remote position, open to applicants in Alabama, +33 more states.

📋 Description

• Oversee pricing and underwriting activities for new business, renewal business, client pricing inquiries, RFP submissions, finalist presentations, and various financial analyses as needed.

• Guide, mentor, and train supervisors and analysts to ensure accurate, timely, and consistent delivery of pricing, underwriting, and risk analysis outputs.

• Supervise the interpretation and application of claims utilization, network pricing, pharmaceutical rebate pricing, administrative fee pricing, trends, government services impacts, client profitability, and other pertinent data.

• Lead the development, maintenance, and utilization of pricing models, risk evaluation models, and client profitability assessments.

• Assess pricing risk, financial guarantee exposure, and the value generated from client relationships.

• Maintain and enforce underwriting guidelines, pricing standards, approval processes, policies, procedures, work instructions, and quality assurance practices.

• Engage in client meetings, finalist presentations, and internal strategic discussions.

• Assist in periodic leadership reporting concerning pricing, underwriting, client profitability, business value, risk exposure, actual vs. expected performance, and related metrics.

• Recognize and implement process enhancements, model improvements, reporting advancements, training opportunities, and quality assurance measures.

• Establish, mentor, and nurture team members through coaching, feedback, and career development planning.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• A Bachelor’s degree, ideally in Statistics, Mathematics, Finance, Actuarial Science, Economics, Risk Management, or Business, is required.

• A minimum of 4 years of pricing and/or underwriting experience in pharmacy benefit management, managed care, or a related environment is required.

• At least 2 years of progressive leadership experience, which may encompass leading individual contributors or teams, or equivalent leadership roles such as coaching, mentoring, or managing complex initiatives or projects, is required.

• Experience in the pharmacy benefit management sector is preferred.

• Familiarity with using financial valuation models and analyzing results is preferred.

• Must participate in, comply with, and support the objectives of the compliance program.

• Ability to consistently interact cooperatively and respectfully with colleagues is essential.

• Candidates must reside in one of the eligible U.S. states or Washington, DC.

🏝️ Benefits

• Comprehensive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of 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 support for Professional Memberships.

• Referral Bonus Program – up to $750!

• STAR Bonus % (At Risk Maximum): 10.00