Director Underwriting - Remote

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

The Director, Underwriting is responsible for leading multiple underwriting teams and driving pricing strategy, financial analysis, and competitive proposal development. This position oversees underwriting operations across client segments while ensuring financial performance, market competitiveness, and consistent underwriting practices. The Director partners across the organization to influence business strategy, support growth objectives, and deliver sustainable financial outcomes.

Responsibilities

• Provides both strategic direction and day to day guidance to underwriting managers to maintain expert underwriting support and meet the needs of the organization
• Works with Blue Plan Underwriting and Sales Executive leadership to develop, drive, and execute ASO pricing and margin strategies
• Oversees and coordinates workflow for the underwriting team
• Works with proposal unit to ensure responses, including pertinent definitions and caveats, for the financial responses to all RFPs are complete and accurate
• Consults with Legal and Client Engagement to ensure, contractual deal terms, caveats, and other pertinent information is accurate and supports the deal as underwritten
• Ensures standard operating procedures are adhered to and that all bids are properly tracked and documented; Collaborates with management on staffing plans, productivity metrics and initiatives to improve efficiencies within the department
• Provides direct support and consultation to Blue Plan Leadership
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in Mathematics, Accounting, Finance or related are of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required

• 8 years of underwriting, healthcare finance, pricing, consulting, actuarial, or related experience
• 5 years of leadership/people management experience
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Advanced underwriting and financial acumen, including application of business mathematics, algebra, discounts, percentages, and analytical modeling to develop pricing and underwriting solutions
• Executive-level communication and presentation skills with the ability to translate complex concepts into clear, actionable recommendations for diverse audiences
• Proven ability to influence, persuade, and gain alignment from senior and executive leaders on pricing strategies, underwriting methodologies, and business initiatives
• Strong relationship management, customer-focused collaboration, and partnership skills with internal stakeholders, Blue Plans, and prospective clients to achieve growth and margin objectives
• Skilled negotiator capable of navigating complex, high-stakes discussions with external partners and challenging stakeholders to advance strategic business outcomes

Preferred Qualifications

• Master's degree in Business Administration, Finance, Healthcare Administration, Economics, or related field
• PBM, healthcare payer, managed care, or healthcare consulting experience
• Experience leading enterprise pricing or underwriting initiatives
• Experience supporting executive-level client relationships
• Demonstrated success leading transformational change initiatives, influencing business decisions, and financial outcomes

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.