Senior Manager, Pharmacy Underwriting

Role Summary The Senior Manager, Pharmacy Underwriting plays a critical leadership role in advancing Express Scripts pharmacy go-to-market strategy through underwriting excellence, pricing expertise, and team leadership. This position is responsible for leading a team of Pharmacy Underwriters, guiding account-level pricing and risk assessment activities, and developing strategic recommendations that support profitable growth, market competitiveness, and client retention.

Working closely with Pharmacy Pricing, Sales, Account Management, Product, and Supply Chain leadership, the Senior Manager will provide financial and risk-based insights that influence business decisions, improve underwriting performance, and drive operational efficiency. The ideal candidate combines strong underwriting expertise with leadership capabilities, strategic thinking, and a commitment to developing talent.

Key Responsibilities

Underwriting Strategy & Business Performance

- Support the execution of pharmacy underwriting strategies that drive earnings growth, market competitiveness, and client retention.
- Partner with leadership to develop business plans and contribute to strategic direction-setting activities.
- Provide financial, pricing, and risk-based insights to support sound underwriting decisions and business outcomes.
- Assist in complex negotiations and support underwriters with high-risk and high-value client opportunities.
- Ensure underwriting decisions align with organizational objectives, market conditions, and risk management principles.

Risk Management & Pricing Leadership

- Evaluate underwriting risks and provide consultative guidance on pricing strategies and account-level rate development.




- Bring a comprehensive risk management perspective to strategic business discussions and client solutions.
- Develop and implement processes that improve risk assessment, governance, and decision-making consistency.
- Collaborate with Supply Chain and Sales and Account Management teams to align market strategies, pricing approaches, and business priorities.
- Monitor trends and market dynamics to identify risks and opportunities that impact profitability and growth.

Operational Excellence & Process Improvement

- Drive initiatives that improve underwriting efficiency, speed to market, quote turnaround time, and implementation performance.
- Identify and implement process improvements that enhance productivity and customer experience.
- Promote best practices and operational disciplines across the underwriting organization.
- Act as a change leader by supporting the successful implementation of strategic priorities and organizational initiatives.

Leadership & Talent Development

- Provide direct leadership, coaching, and mentorship to a team of Pharmacy Underwriters.
- Foster a culture of accountability, collaboration, continuous learning, and high performance.
- Conduct regular performance discussions, provide ongoing feedback, and support career development planning.
- Create opportunities for team members to develop new skills, lead projects, and expand business knowledge.
- Encourage knowledge sharing, innovation,



and the adoption of best practices across the underwriting team.

Stakeholder & Client Partnership

- Partner effectively with Sales, Pricing, Product, Finance, Supply Chain, and Market leadership teams to achieve business objectives.
- Support consultant and client engagements by providing underwriting expertise and consultative guidance.
- Balance customer needs, affordability, competitiveness, and risk management considerations when developing solutions.
- Communicate complex underwriting and financial concepts clearly to stakeholders at all organizational levels, including executive leadership.

Qualifications

Required

- 5+ years of Pharmacy Underwriting experience.
- Demonstrated experience leading underwriting strategies and driving business results.
- Robust analytical and financial acumen with the ability to interpret, evaluate, and communicate financial performance and risk.
- Experience influencing decision-making and collaborating across cross-functional teams.
- Proven ability to lead initiatives, manage competing priorities, and execute in a fast-paced environment.
- Excellent verbal, written, and presentation communication skills.

Preferred

- Bachelor's degree in Actuarial Science, Finance, Economics, Accounting, Statistics, Business, or a related field.
- Prior leadership experience managing or mentoring underwriting teams.
- Knowledge of pharmacy benefit management (PBM) pricing methodologies and underwriting practices.
- Familiarity with Express Scripts’ underwriting guidelines, policies, and procedures.
- Experience supporting sales strategy, client negotiations, and market-facing initiatives.FRole & responsibilities

Preferred candidate profile

Perks and benefits

📌 PBM UW - Senior Manager (Hyderabad)
🏢 Careernet
📍 Hyderabad