ASO/Rx Underwriter

ASO / Rx Underwriter (Contract)

Location: Remote / Hybrid (U.S.-based)

Duration: 6-month contract

Schedule: Full-time (aligned to PST hours, some flexibility)

About the Opportunity

We're partnering with a large, established health plan organization supporting continued growth in their self-funded (ASO) employer business. Due to recent team changes and increased demand, they are seeking an experienced ASO/Rx Underwriter to provide immediate support across new business and renewals.

This is a great opportunity to work within a fast-paced underwriting environment, with a strong emphasis on pharmacy (Rx) pricing strategy and financial modeling.

What You'll Do

• Underwrite self-funded (ASO) employer groups, with a focus on pharmacy benefit (Rx) financials
• Analyze claims experience, utilization, demographics, and trend assumptions
• Develop and maintain pricing models (primarily in Excel)
• Build and evaluate Rx pricing components, including:
• Administrative fees
• Discounts
• Rebates
• PBM cost structures
• Support new business and renewal pricing, including rate exhibits and underwriting summaries
• Partner with Sales, Account Management, Actuarial, and Pharmacy teams on pricing strategy
• Contribute to RFP/RFI responses requiring underwriting input
• Document assumptions, pricing rationale, and recommendations in alignment with internal guidelines
• Assist with portfolio analysis, performance monitoring, and ad hoc financial requests

What We're Looking For

• 3-6+ years of underwriting experience within a health plan, TPA, or PBM environment
• Direct experience underwriting ASO / self-funded employer groups
• Strong understanding of pharmacy benefit pricing and PBM financial structures
• Advanced Excel skills (pricing models, pivot tables, scenario analysis)
• Proven ability to manage multiple priorities in a fast-paced, sales-driven environment
• Strong analytical, problem-solving, and communication skills
• Bachelor's degree in Finance, Economics, Mathematics, Statistics, Business, or related field

Preferred Experience

• Experience working closely with Pharmacy or PBM teams
• Knowledge of Rx cost drivers, including specialty pharmacy and rebate structures
• Exposure to stop-loss considerations and collaboration with actuarial partners
• Experience supporting large or national employer accounts
• Familiarity with underwriting systems or pricing platforms within a health plan

Why This Role

• Opportunity to support a high-impact underwriting team during a critical period
• Exposure to complex Rx pricing strategies and ASO business
• Collaborative, cross-functional environment
• Potential for future opportunities based on performance