You have two issues, leveling and rail clearance . You can adjust the pin box, adjust the hitch and adjust the height of the FW. First thing is to shim the the FW up on scrap wood to get the rail clearance right first. You have to start with the rail clearance. Mocking it up is the best thing. Don't worry about a bunch of angles and math, you aren't going to figure it out and apply X fix to it. Also consider while mocking it up that your true travel condition is loaded.
You can go about all ofit in several ways from lowering the truck to an axle flip to tire size to subframes 2 axle alignment kits and shackle position. the main thing is knowing exactly where it is and where you want to go and how you want to get it there before you buy or do anything. when you are mocking it up you will also be able to see how your stabilizers are and your step. I ended up buying I believe 30 inch stabilizers and a torklift four step.
With it mocked up you can stand back and look at it and put a level in RV and see where it's at. if you need to raise or lower the pin or raise or lower the hitch to get the rail clearance correct you then re-adjust the wood shims under the fifth wheel tires to relevel it.
When the rail clearance is correct and the rig is level you will then know how much the fifth wheel needs to be raised or truck lowered