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Pharmacy Benefit Management (PBM) Underwriting Manager

May 30, 2026

Company Bio: Founded by industry pioneers, SlateRx provides simple and affordable pharmacy benefit programs to employer groups, unions, public sector groups, health systems, and other payers throughout the United States. As the industry’s only PBX, SlateRx is creating real value for plan sponsors on day one through purchasing scale and continued management via innovation and transparency. Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members. Job Overview: As the Manager of Underwriting, you will play a pivotal role in supporting the RFP processes and conducting financial analyses for SlateRx and its clients, and the team responsible for execution. Your responsibilities will include conducting repricing exercises, analyzing value propositions, identifying trend drivers, and monitoring contract compliance. Collaborating closely with cross-functional teams, you will drive the success of our organization, enhance member health outcomes, and contribute to the growth of our organization. Responsibilities: As Manager, Underwriting your key responsibilities will include: <ul style="list-style-type: disc;"> <li> Support RFP processes by assisting in the completion of financial questionnaires. </li> <li> Analyze the value proposition for prospective clients. </li> <li> Manage repricing activities and related requests </li> <li> Manage repricing exercises and retrospective analyses of deal performance for clients and their advisors. </li> <li> Conduct in-depth financial analysis to compare relative value between different deal structures. </li> <li> Oversee the evaluation of client ROI or opportunities arising from SlateRx programs. </li> <li> Provide expert responses to complex questions from internal resources, including implementation and account teams. </li> <li> Collaborate with the clinical team to develop therapeutic class or category-based financial scorecards for future strategic planning. </li> <li> Address other financial inquiries originating from SlateRx administration and analytics teams. </li> <li> Provide oversight and training to team members who have been delegated underwriting projects. </li> <li> Performs miscellaneous job-related duties as assigned. </li> </ul> Qualifications: To excel in this role, you should possess the following qualifications: <ul style="list-style-type: disc;"> <li> Proficient in collecting and extracting relevant data from various sources, including pharmacy insurance claims databases. Skilled in utilizing data analysis tools and techniques to identify trends, patterns, and insights that contribute to informed decision-making. </li> <li> Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies. Proficiency in identifying potential financial risks and proposing mitigation strategies. </li> <li> Strong aptitude for building complex financial models to simulate different scenarios, pricing structures, and underwriting outcomes. Expertise in using modeling software and spreadsheet applications for accurate financial projections. </li> <li> In-depth understanding of the intricate details and terminology commonly found in PBM contracts. Proficient in reviewing, interpreting, and negotiating contract terms to optimize financial outcomes and minimize potential liabilities. </li> <li> Familiarity with statistical methods and techniques for evaluating data significance and drawing meaningful conclusions. Capable of performing statistical analyses to support underwriting decisions and pricing strategies. </li> <li> Excellent verbal and written communication skills with the ability to convey complex financial concepts and analysis results in a clear and understandable manner. Comfortable presenting findings to internal teams, clients, or stakeholders. </li> <li> Keen attention to detail when working with financial data, contracts, and documentation. Ensures accuracy and precision in all aspects of underwriting and financial analysis. </li> <li> Strong problem-solving abilities, capable of identifying issues, analyzing root causes, and proposing effective solutions. Adaptable in addressing challenges and making data-driven recommendations. </li> <li> Awareness of regulatory requirements and industry standards related to PBM operations and healthcare finance. Ensures that underwriting practices align with applicable laws and regulations. </li> <li> Effective teamwork and collaboration skills to work closely with cross-functional teams, including clinical, implementation, and account teams. Capable of integrating financial insights into broader strategic initiatives. </li> <li> A commitment to staying updated with industry trends, emerging technologies, and best practices in PBM underwriting and financial analysis. Willingness to pursue relevant certifications or professional development opportunities. </li> <li> 4+ years of previous experience in pharmacy benefit management/administration, with a specific functional background in data analytics and claims data. </li> <li> Knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools. </li> </ul> Education: Bachelor’s degree in finance, statistics, mathematics, economics, or equivalent work experience; master’s degree a plus. License Requirement: None Job Benefits: Health, Dental, Vision, Life, 401k, Paid Time Off. Location: Remote with limited travel to client locations, internal business meetings, and other locations as needed.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...