Director, Underwriting

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Alaska, +44 more states – Remote

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💵 $175k - $225k / year

⏰ Full Time

🔴 Lead

📋 Underwriter

👻 Ghost score 0%

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Logo of Prescryptive Health, Inc.

Prescryptive Health, Inc.

201 - 500 employees

Founded 2017

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Prescryptive Health, Inc. is a healthcare technology company that operates the myPrescryptive platform to help patients, pharmacies, employers, health systems, and pharma manufacturers manage and optimize prescription medications. Its SaaS platform provides real-time patient alerts, digital prescription management (no app required), EHR integration, and AI-driven pricing tools to improve medication adherence, transparency, affordability, and pharmacy profitability. Prescryptive offers employer-facing benefit solutions (emPBM), pharmacy pricing optimization, and consumer-facing tools to compare prices and track medication spend, with security certifications such as HITRUST.

📋 Description

• Execute deal-level underwriting using historical claims, pharmacy network pricing, rebate commitments, and other deal-specific inputs • Partner with Product, Pricing, and Sales to optimize deal-specific pricing and identify savings opportunities • Manage multiple concurrent deals with shifting timelines while maintaining accuracy and underwriting rigor • Coordinate deal-level rebate commitments with aggregators and lead underwriting for complex or non-traditional deal structures • Partner with Finance to evaluate deal-level risk and margin sufficiency • Analyze client and product profitability and bring forward insights on network economics, manufacturer contracting, specialty trends, and operational cost drivers • Improve underwriting tools, processes, and data quality through automation and AI-enabled capabilities while maintaining clear, defensible documentation

🎯 Requirements

• 8+ years of underwriting experience, including substantial hands-on PBM/pharmacy benefit underwriting experience across new business and renewals • Recent hands-on experience independently building and evaluating pharmacy benefit pricing for self-funded employer groups • Deep understanding of PBM economics, including pharmacy network pricing, specialty utilization, rebates, guarantees, and margin drivers • Advanced Excel modeling skills, with the ability to independently build, interrogate, and modify complex underwriting models • Demonstrated commercial judgment, including the ability to evaluate risk, make pricing recommendations, and independently structure deals within defined guardrails • Ability to manage multiple complex deals simultaneously in a fast-paced, high-accountability environment • Comfort using AI-enabled tools to improve modeling, analysis, and underwriting efficiency • Experience pricing mid-market and large employer groups • Exposure to underwriting governance frameworks • Experience in transparent or pass-through PBM environments • Experience improving underwriting automation or tooling • Experience in an early-stage or scaling company

🏖️ Benefits

• Flexible time off, including 12 paid holidays • 401k match • 100% employer-provided medical, dental, and vision premiums • Company contribution to Health Savings Account • Stock options

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