[Hiring] Vice President, PBM Underwriting @Rightway

Role Description

The Vice President, PBM Underwriting owns how Rightway prices and renews pharmacy benefits business. You'll lead the underwriting team that turns client data, market conditions, and contract terms into pricing that's competitive, accurate, and sustainable, for both new business and renewals. You'll partner closely with Sales, Finance, Pharmacy, and Client Success to win the right clients and keep them. This is a senior leadership role with real influence on growth.

• Lead underwriting for new business, RFPs, and renewals
• Set underwriting guidelines, approval thresholds, and risk tolerances, and decide when to push back, price for risk, or walk away
• Analyze claims and plan data to identify cost drivers, assess risk, and forecast financial performance
• Work with Legal, Finance, and Sales on contract terms and guarantees that protect margin while keeping offers competitive
• Monitor performance across our book of business against pricing assumptions, and use what you learn to sharpen future pricing and renewal strategy
• Partner with the cost of goods, pharmacy network, and rebate teams so pricing reflects real net costs and contract economics
• Advocate for Rightway’s pricing models clearly to clients, brokers, consultants, and executive leadership
• Build, coach, and develop a high-performing team, and set clear standards for rigor, speed, and documentation
• Report on pricing performance, win/loss trends, renewal outcomes, and risk exposure to the executive team
• Other duties as assigned

Qualifications

• 10+ years of experience in PBM underwriting, pharmacy pricing, healthcare analytics, or actuarial work, including 5+ years leading teams
• Deep knowledge of PBM economics, including rebates, pharmacy network pricing, drug acquisition costs, fee structures, and guarantee design
• Strong financial modeling skills and comfort working with large claims datasets (SQL, Excel, and BI tools)
• A track record pricing complex, large-employer or consultant-led deals
• Sound judgment under uncertainty, with the confidence to make and defend a call
• Clear communication, in writing and in the room, with technical and non-technical audiences
• Bachelor's degree in finance, actuarial science, economics, pharmacy, or a related field

Requirements

• Actuarial credential (ASA, FSA, or MAAA)
• Experience at a PBM, health plan, consultancy, or pharmacy-focused analytics firm
• Experience with pass-through or fully transparent pricing models
• Experience building underwriting tools or automating pricing workflows

Benefits

• Compensation: $210,000 - $250,000 annually, in addition to bonus and equity
• Compensation offered will be determined by geographic location, experience, and qualifications.

Company Description

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 $300mm from investors including Khosla Ventures, Thrive Capital, Francisco Partners, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.