Director Underwriting - Remote

Prime Therapeutics•Home, WV
•$124,000 - $211,000•Remote

About The Position

The Director, Underwriting leads multiple underwriting teams and drives pricing strategy, financial analysis, and competitive proposal development. The role oversees underwriting operations across client segments, 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. The position provides strategic direction and day-to-day guidance to underwriting managers, coordinates team workflow, and works with Blue Plan Underwriting and Sales Executive leadership to develop and execute ASO pricing and margin strategies. It also ensures financial responses to RFPs are complete and accurate and partners with Legal and Client Engagement to confirm that contractual terms and deal information support the deal as underwritten. The Director ensures adherence to operating procedures and appropriate tracking and documentation of bids, and collaborates with management on staffing plans, productivity metrics, and efficiency initiatives. The position also provides direct support and consultation to Blue Plan Leadership. Employees must comply with applicable security, legal, regulatory, contractual, and internal requirements and be able to perform the essential job functions, with reasonable accommodations where appropriate.

Requirements

  • Bachelor's degree in Mathematics, Accounting, Finance, or a related area of study, or an equivalent combination of education and/or relevant work experience; a high school diploma from an accredited school or equivalent GED is required.
  • At least 8 years of experience in underwriting, healthcare finance, pricing, consulting, actuarial work, or a related field.
  • At least 5 years of leadership or people management experience.
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship.
  • 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.
  • 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.
  • Negotiation skills to navigate complex, high-stakes discussions with external partners and challenging stakeholders.

Nice To Haves

  • Master's degree in Business Administration, Finance, Healthcare Administration, Economics, or a 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 and influencing business decisions and financial outcomes.

Responsibilities

  • Provide strategic direction and day-to-day guidance to underwriting managers to maintain expert underwriting support and meet organizational needs.
  • Work with Blue Plan Underwriting and Sales Executive leadership to develop, drive, and execute ASO pricing and margin strategies.
  • Oversee and coordinate workflow for the underwriting team.
  • Work with the proposal unit to ensure financial responses to RFPs, including pertinent definitions and caveats, are complete and accurate.
  • Consult with Legal and Client Engagement to ensure contractual deal terms, caveats, and other pertinent information are accurate and support the deal as underwritten.
  • Ensure standard operating procedures are followed and bids are properly tracked and documented.
  • Collaborate with management on staffing plans, productivity metrics, and initiatives to improve departmental efficiency.
  • Provide direct support and consultation to Blue Plan Leadership.
  • Perform other duties as assigned.
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