VP, PBM Underwriting

About the role

The Vice President, PBM Underwriting leads how Rightway prices and renews pharmacy benefits business. This senior role owns underwriting strategy, team leadership, and cross functional collaboration to deliver competitive and sustainable pricing for both new business and renewals.

What you'll do

• 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
• Collaborate on contract terms and guarantees with Legal, Finance, and Sales
• Monitor pricing performance and sharpen future pricing and renewal strategy
• Partner with cost of goods, pharmacy network, and rebate teams to reflect true costs

What they're looking for

• 10+ years in PBM underwriting, pharmacy pricing, healthcare analytics, or actuarial work
• 5+ years leading teams
• Deep knowledge of PBM economics, rebates, network pricing, and guarantee design
• Strong financial modeling skills and experience with large claims data (SQL, Excel, BI tools)
• Track record pricing complex large employer or consultant led deals
• Clear communication across technical and non technical audiences

For applicants in Nigeria

• The listing does not state a timezone requirement or geographic hiring region beyond Remote; confirm before interviewing
• The compensation is listed as a global range and will be determined by location; Nigeria specific pay currency or range is not provided
• It does not specify visa or work authorization requirements for Nigeria; verify before applying