VP, PBM Underwriting
Rightway
WorldwideFully remoteFull TimeDirector, ExecutiveHealthcare & Telemedicine
USD 210,000–250,000 a yearPosted 4 hours ago4h agoApply link checked 44 minutes ago
Why we think you can apply
- Hiring model
- Open worldwide · the employer states no country restriction
- Work from
- Anywhere, the UAE included
Posted 4 hours ago · apply link checked 44 minutes ago
About the role
Responsibilities
- Lead underwriting for new business, RFPs, and renewals
- Set underwriting guidelines, approval thresholds, and risk tolerances
- Analyze claims and plan data to identify cost drivers and forecast financial performance
- Work with Legal, Finance, and Sales on contract terms and guarantees
- Monitor book-of-business performance against pricing assumptions
- Partner with cost of goods, pharmacy network, and rebate teams
- Advocate for pricing models with clients, brokers, consultants, and executives
- Build, coach, and develop a high-performing underwriting team
- Report on pricing performance, win/loss trends, and risk exposure
Requirements
- 10+ years in PBM underwriting, pharmacy pricing, healthcare analytics, or actuarial work
- 5+ years leading teams
- Deep knowledge of PBM economics, rebates, and guarantee design
- Strong financial modeling and large claims dataset skills (SQL, Excel, BI tools)
- Track record pricing complex large-employer or consultant-led deals
- Bachelor's degree in finance, actuarial science, economics, pharmacy, or related field
Preferred Qualifications
- Actuarial credential (ASA, FSA, or MAAA)
- Experience at a PBM, health plan, consultancy, or pharmacy analytics firm
- Experience with pass-through or fully transparent pricing models
- Experience building underwriting tools or automating pricing workflows
About the Company
Rightway harmonizes healthcare by guiding patients to the best care and medications through clinicians, pharmacists, and a mobile app. Founded in 2017, it is headquartered in New York City.
What we look for
- 10+ years in PBM underwriting, pharmacy pricing, healthcare analytics, or actuarial work
- 5+ years leading teams
- Deep knowledge of PBM economics, rebates, and guarantee design
- Strong financial modeling and large claims dataset skills (SQL, Excel, BI tools)
- Track record pricing complex large-employer or consultant-led deals
- Bachelor's degree in finance, actuarial science, economics, pharmacy, or related field
- Actuarial credential (ASA, FSA, or MAAA)
- Experience at a PBM, health plan, consultancy, or pharmacy analytics firm
- Experience with pass-through or fully transparent pricing models
- Experience building underwriting tools or automating pricing workflows
Risk ManagementSQLNegotiationLeadershipAnalyticsBusiness IntelligenceExcelFinancial ModelingReportingunderwriting
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Rightway
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NeverApply scores every new listing against your CV, salary floor and visa. A handful of real matches by morning.
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