Director – Networks and Underwriting

• Lead TrueScripts’ pharmacy network strategy, performance management, contracting strategy, and network optimization
• Evaluate network options and determine appropriate network structures for client populations and market segments
• Establish network performance objectives and monitor network economics, access, competitiveness, and client impact
• Analyze pharmacy reimbursement trends, market dynamics, competitive positioning, and pharmacy economics
• Oversee the development and enhancement of PBM underwriting methodology
• Oversee financial modeling for new business, renewals, and existing client opportunities
• Establish assumptions for pharmacy utilization, drug mix, reimbursement, discounts, rebates, dispensing fees, trends, and other financial variables
• Evaluate financial risk, margin opportunity, pricing recommendations, and underwriting assumptions
• Oversee contractual guarantees related to network discounts, ingredient cost, rebates, trend, pricing, and other PBM commitments
• Monitor guarantee performance and recommend corrective actions for variances
• Support new business and renewal opportunities, RFPs, proposals, negotiations, and deal structure decisions
• Provide strategic direction on pharmacy reimbursement, contracting approaches, acquisition costs, MAC pricing, ingredient costs, and dispensing fees
• Develop dashboards, reporting, KPIs, executive-level analyses, and actionable recommendations
• Partner cross-functionally with Finance, Sales, Client Services, Clinical, Operations, Data & Analytics, and Executive Leadership
• Lead, develop, and coach Network and Underwriting team members
• Establish goals, accountability, succession plans, standardized processes, and documentation

Requirements

• Bachelor’s degree in Accounting, Finance, Business, Healthcare Administration, Compliance, or related degree in Business, Finance, Economics, Healthcare Administration, Pharmacy, or related field
• 7+ years of progressive experience in PBM, pharmacy benefits, healthcare, underwriting, network management, pricing, or related areas
• Demonstrated experience with PBM financial modeling and underwriting
• Strong understanding of pharmacy network economics and reimbursement methodologies
• Experience with PBM pricing, guarantees, rebates, discounts, and financial commitments
• Strong analytical and financial modeling skills
• Demonstrated experience leading cross-functional initiatives and influencing executive-level decisions
• Strong understanding of pharmacy claims and utilization data
• Excellent communication, negotiation, and presentation skills
• Primarily remote position with occasional travel to the TrueScripts office in Washington, Indiana
• Less than 10% travel required

Core Competencies

Demonstrates expertise in pharmacy network strategy, financial modeling, and reimbursement methodologies, with a strong focus on performance management and cross-functional collaboration. Proven ability to lead teams, influence executive decisions, and develop actionable insights through data analysis.

Highest-signal resume keywords

• PBM Financial Modeling
• Pharmacy Network Economics
• Underwriting Methodology
• Cross-Functional Leadership
• Analytical Skills

Hard Skills

• Financial Modeling
• Pharmacy Reimbursement
• Network Optimization
• Pricing Strategies
• Contracting Strategies
• Data Analysis
• KPI Development
• Pharmacy Claims Analysis
• Utilization Data Analysis
• Market Dynamics Evaluation

Soft Skills

• Communication Skills
• Negotiation Skills
• Presentation Skills
• Coaching Skills
• Influencing Skills

Industry Keywords

• Pharmacy Benefits Management
• Healthcare Administration
• Network Management
• Rebates
• Discounts
• Financial Commitments
• Client Services
• Executive Leadership
• RFPs
• Business Development