Manager, Pricing and Underwriting

Due to growth we are adding a Manager Pricing and Underwriting to our team.

The Manager Pricing and Underwriting supports and manages core functions across the full scope of pricing underwriting and risk analysis. This position reports to the Director Pricing and Underwriting and will provide leadership to Supervisors and Analysts. The Manager is responsible for developing pricing recommendations evaluating financial risk maintaining underwriting models and supporting pricing decisions for new business renewal business client retention and RFP opportunities.

Is this you Find out more below!

How do I make an impact on my team

• 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 the interpretation and application of claims utilization network pricing pharmaceutical rebate pricing administrative fee pricing trend government services impacts client profitability and other relevant data to inform pricing recommendations and financial decisions.
• Direct the development maintenance and use of pricing models risk evaluation models and client profitability models used to evaluate prospective and current client opportunities.
• Evaluate pricing risk financial guarantee exposure and value derived from client relationships to support balanced recommendations aligned with Navitus financial strategic and client retention objectives.
• Maintain and apply underwriting guidelines pricing standards approval processes policies procedures work instructions and quality assurance practices to support consistent compliant and well-documented pricing decisions.
• Participate in client-facing meetings finalist presentations and internal strategy discussions by communicating pricing approach financial risk and business value to technical and non-technical audiences.
• Support periodic leadership reporting on pricing underwriting client profitability business value risk exposure actual-to-expected performance and related performance metrics.
• Identify and implement process improvements model enhancements reporting improvements training opportunities and quality assurance practices to increase accuracy efficiency consistency and business value.
• Establish mentor and develop team members through coaching feedback and career planning ensuring a pipeline of future leaders and a culture of accountability and growth.
• Other duties as assigned.

What our team expects from you

• Bachelors 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.

What can you expect from Navitus

• 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!

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