Underwriter Senior - Remote

Prime Therapeutics
Raleigh, NC

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Underwriter Senior – Remote

Job Description

The Senior Underwriter is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of Prime’s book of business. This position is responsible for developing recommendations for pricing terms; offering structure and risk analysis for highly complex and visible cases, primarily in the Health Plan markets that directly impact Prime’s goals; profit drivers and the organization’s financial value statement. This role serves as subject matter expert on concerns pertaining to underwriting, performance guarantees and other financial considerations.

Responsibilities

  • Evaluates the utilization and financial experience of customers and prospects; primarily focused on complex cases within the Health Plan marketplace
  • Researches, analyzes, develops and applies advanced knowledge of pricing strategies in the PBM industry; provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis
  • Provides support to Sales and Client Engagement, assisting in the development of client presentations and negotiations pertaining to pricing, and performance guarantees
  • Consults with other departments such as Legal and IT, and participates in meetings as required on issues that have financial implications
  • Prepares materials and reports, and presents to Senior Leadership and Executive Leadership teams
  • Acts as a primary source of financial truth in legal contracting of new and existing clients, ensuring detailed contract clauses match the underlying financials and do not put company at additional risk
  • Develops and maintains a strong positive working relationship with leadership in many areas, including Sales, Network Management, Trade Relations, and Client Engagement, as well as other key business owners within Prime
  • Trains and mentors less experienced team members
  • Other duties as assigned

Minimum Qualifications

  • Bachelor’s degree in mathematics, accounting, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 7 years of related work experience in Finance or Accounting, including 3 years in the PBM industry
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

  • In-depth knowledge of mathematical applications used in underwriting function, including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems
  • Ability to effectively present information and respond to complex questions in front of Senior and Executive Leadership
  • Works well under stressful situations with competing deadlines and goals
  • Excellent written and verbal communication skills
  • Strong eye for detail and excellent retention of salient details
  • Advanced level of proficiency in MS Office applications, particularly Excel, Word and PowerPoint

Preferred Qualifications

  • 5 years of finance experience in the PBM industry
  • 7 years as a Senior Underwriter or Benefits Consultant
  • Progressive leadership experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $94,000.00 – $160,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the “Benefits at a glance” button for more detail

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

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Posted 2026-05-01

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