{"id":1762835,"url":"https://alion.io/job/prescryptive-director-underwriting","title":"Director, Underwriting","company":{"id":2190544,"name":"Prescryptive","domain":"prescryptive.com","url":"https://alion.io/company/prescryptive","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"head","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Washington, United States","New York, United States","United States","Georgia"],"countries":["US","GE"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":175000,"max":225000,"currency":"USD","period":"year","gross":null,"usd_annual":225000},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"Microsoft Excel","optional":false}],"status":"live","first_seen_at":"2026-08-27T00:00:00Z","employer_posted_date":"2026-08-27","last_verified_at":"2026-10-06T19:54:14Z","board_verified":true,"closed_at":null,"days_open":41,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":41},"description":"Who is Prescryptive?\nPrescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com.\nAbout this role\nAs the Director of Underwriting at Prescryptive, you will lead complex underwriting for new and renewing pharmacy benefit business, partnering with Product, Pricing, Sales, and Finance to develop pricing that is financially sound, competitive, and aligned with Prescryptive’s transparent model.\nThis is a hands-on underwriting role, not an underwriting oversight role. You will work directly on complex deals, independently structure pricing within defined guardrails, and manage competing priorities and tight timelines without sacrificing underwriting rigor.\nYou will also help advance our underwriting capabilities by bringing forward industry insights and improving how we work, including using automation and AI-enabled tools to accelerate modeling, leverage historical underwriting work, and improve data quality and efficiency.\nWhat you will do\nExecute deal-level underwriting using historical claims, pharmacy network pricing, rebate commitments, and other deal-specific inputs.\nPartner with Product, Pricing, and Sales to optimize deal-specific pricing and identify savings opportunities.\nManage multiple concurrent deals with shifting timelines while maintaining accuracy and underwriting rigor.\nCoordinate deal-level rebate commitments with aggregators and lead underwriting for complex or non-traditional deal structures.\nPartner with Finance to evaluate deal-level risk and margin sufficiency.\nAnalyze client and product profitability and bring forward insights on network economics, manufacturer contracting, specialty trends, and operational cost drivers.\nImprove underwriting tools, processes, and data quality through automation and AI-enabled capabilities while maintaining clear, defensible documentation.\nWhat you will bring (minimum requirements)\n8+ years of underwriting experience, including substantial hands-on PBM/pharmacy benefit underwriting experience across new business and renewals.\nRecent hands-on experience independently building and evaluating pharmacy benefit pricing for self-funded employer groups. Experience incorporating pharmacy quotes or assumptions into broader health plan or TPA underwriting models does not meet this requirement.\nDeep understanding of PBM economics, including pharmacy network pricing, specialty utilization, rebates, guarantees, and margin drivers.\nAdvanced Excel modeling skills, with the ability to independently build, interrogate, and modify complex underwriting models.\nDemonstrated commercial judgment, including the ability to evaluate risk, make pricing recommendations, and independently structure deals within defined guardrails.\nAbility to manage multiple complex deals simultaneously in a fast-paced, high-accountability environment.\nComfort using AI-enabled tools to improve modeling, analysis, and underwriting efficiency.\nIdeally you will also have\nExperience pricing mid-market and large employer groups.\nExposure to underwriting governance frameworks.\nExperience in transparent or pass-through PBM environments.\nExperience improving underwriting automation or tooling.\nExperience in an early-stage or scaling company.\nWhat we have to offer\nThe opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry.\nFlexible time off, including 12 paid holidays.\n401k match plus 100% employer-provided medical, dental, and vision premiums.\nCompany contribution to Health Savings Account.\nStock options.\nPrescryptive is committed to fair pay practices. The projected annual salary range for this position is $175,000 - $225,000. When preparing an offer, we also consider relevant experience, internal equity, and location.\nPrescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability.","description_format":"text","description_chars":4200,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Flexible time off","Stock options"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-03T13:17:56Z"}],"visa":[],"liveness":{"score":36,"band":"fade","label":"Fading","p_open":1,"p_active":0.646,"p_room":0.55,"age_days":40,"expected_fill_days":28,"reasons":["conf:3","win:tail"],"computed_at":"2026-10-06T05:45:30Z"},"pay":{"stated_usd_annual":225000,"is_top_pay":true},"html_url":"https://alion.io/job/prescryptive-director-underwriting","json_url":"https://alion.io/job/prescryptive-director-underwriting.json","meta":{"generated_at":"2026-10-07T01:32:34Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":2470,"day_limit":5000,"remaining_today":2530,"minute_limit":60,"resets_at":"2026-10-08T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2190544},"rest":"https://alion.io/mcp/rest/get_company?id=2190544"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fprescryptive-director-underwriting"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fprescryptive-director-underwriting"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fprescryptive-director-underwriting"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/prescryptive-director-underwriting\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fprescryptive-director-underwriting"}]}