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Director of Underwriting

Location: Remote
Compensation: Salary
Reviewed: Thu, Aug 27, 2026
This job expires in: 14 days

Job Summary

Leading complex underwriting for new and renewing pharmacy benefit business, the full-time remote Director of Underwriting will manage deal-level pricing, partner with cross-functional teams, and enhance underwriting capabilities through automation and AI tools.

Key responsibilities
  • Execute deal-level underwriting using historical claims and pharmacy network pricing
  • Partner with Product, Pricing, and Sales to optimize pricing and identify savings opportunities
  • Manage multiple concurrent deals while maintaining accuracy and underwriting rigor
Required qualifications
  • 8+ years of underwriting experience, specifically in PBM/pharmacy benefit underwriting
  • Recent hands-on experience building and evaluating pharmacy benefit pricing for self-funded employer groups
  • Deep understanding of PBM economics, including pricing, rebates, and margin drivers
  • Advanced Excel modeling skills for complex underwriting models
  • Ability to manage multiple complex deals in a fast-paced environment

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