Director, PBM Underwriting

ABOUT THE ROLE:
We are looking for a Director, PBM Underwriting to join the Underwriting and Cost of Goods team. This individual will be responsible for overseeing Rightway’s prospective client and renewal underwriting and offers.
WHAT YOU’LL DO:

• Oversee Rightway’s PBM underwriting strategy and operations to create
• competitive and sustainable financial offers for perspective business and
• renewals.
• Direct and oversee the Underwriting team’s implementation of strategic updates
• to the underwriting models and methods based on competitive intelligence and
• evolving best practices.
• Lead financial discussions with prospective clients, renewing clients, and PBM
• consultants to augment PBM sales.
• Provide support to escalations in the client contracting process related to the
• contract’s financial exhibits and definitions.
• Coordinate with the Cost of Goods, Retail Network, Formulary, and Operations
• teams to solicit feedback on the underwriting process.
• Support and mentor the Underwriting team with members of varying seniority
• (analysts to senior managers) in the execution of the team’s objectives.
• Other duties as assigned.

WHO YOU ARE:

• Bachelor’s degree in Business, Economics, Mathematics, related area of study, or equivalent combination of education and/or relevant work experience
• 5-7 years of PBM/Healthcare experience with a focus in pricing or underwriting
• 1-3 years leading a team of financial analysts

EXTRA CREDIT: 

• SQL, Python, and Tableau experience a plus

SALARY: $160,000-180,000

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. 

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

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Last updated on Aug 15, 2024