Senior Medical and Dental Underwriter

Blue Cross and Blue Shield of Massachusetts, Inc.; Golden Horseshoe; Hybrid; USD 96,000 - 119,000; Full time

Job summary

An established industry player is seeking a Sr. Underwriter to enhance their underwriting operations. In this pivotal role, you will manage profitability for assigned business segments, develop pricing strategies, and analyze complex data to drive decision-making. Your expertise will contribute to innovative product development and improve operational efficiencies. This forward-thinking company values diversity and offers a supportive environment for career growth, ensuring a balance between professional success and personal well-being. Join a team committed to transforming healthcare and making a meaningful impact in the community.

Benefits

Paid Time Off

Insurance

401(k)

Well-Being Programs

Qualifications

• 5+ years of group health underwriting experience required.
• Bachelor’s degree preferred in Finance or Economics.

Responsibilities

• Calculate rates for prospective and renewing business.
• Negotiate prices with customers to meet profitability goals.

Skills

Analytical Skills

Problem-Solving Skills

Communication Skills

Customer Service Orientation

Attention to Detail

Education

Bachelor’s degree in Finance or Economics

HIAA or CEBS designation

Tools

Excel

Word

Job description

Ready to help us transform healthcare? Bring your true colors to blue.

What We Need

The Sr. Underwriter is responsible for the profitability of an assigned book of business, including prospective and renewing business in the 51-99 and 100+ market segment. In addition, the Sr. Underwriter will provide support for financial management reports, participate in the development of new products and rating methodologies, and other assigned projects to improve underwriting operations.

Key Responsibilities:

• Calculate rates accurately and timely for 51-99 and 100+ prospective opportunities, and 100+ renewing accounts in the Commercial and Municipal market segments.
• Work with various funding arrangements, including insured, self-insured, and level funded.
• Apply critical thinking and creative problem-solving skills.
• Ensure adherence to Underwriting Policies and Procedures; approve exceptions when necessary.
• Develop pricing strategies to achieve profitability and market share targets within approved authority levels.
• Contribute to the development of new rating practices.
• Prepare actuarial and underwriting analyses for proposals and renewals, including account and contribution strategies.
• Analyze and explain the advantages and disadvantages of various programs in competitive bids.
• Monitor and report on profitability and persistency of the book of business.
• Negotiate prices with customers and brokers to retain/grow enrollment and meet profitability goals.
• Present financial proposals and renewals to internal stakeholders.
• Assist in developing financial presentations for internal and external audiences.
• Perform ad-hoc projects as assigned.
• Develop SME proficiency in underwriting topics.

Capabilities:

• Show initiative and focus on improving organizational performance.
• Analyze data independently in a fast-paced environment.
• Maintain a growth mindset and pursue professional development.
• Assess risk through data analysis and determine appropriate actions.
• Take calculated risks responsibly.
• Excel in challenging assignments.
• Employ technical and functional skills effectively.
• Interpret and apply underwriting guidelines flexibly.
• Adapt to changes in the healthcare market swiftly.
• Implement new processes and modify existing ones as needed.
• Build cooperative relationships internally and externally.
• Manage time effectively to meet deadlines.
• Adjust priorities flexibly and communicate appropriately with stakeholders.
• Follow up on escalated issues and respond with urgency.
• Make justified decisions aligned with business priorities.
• Maintain awareness of the competitive market landscape.

Technical Skills:

• Use mathematical models for proposals, renewals, and cost projections.
• Understand account-specific rating formulas, trends, and strategies to minimize adverse selection.
• Proficient in Excel and Word; capable of learning new software tools.

Experience and Education:

• Bachelor’s degree from an accredited university, preferably in Finance or Economics.
• HIAA or CEBS designation preferred.
• At least 5 years of group health underwriting experience required.
• Excellent communication skills to explain complex concepts clearly.
• Customer service orientation with the ability to work independently.
• Attention to detail and high performance standards.
• Experience managing multiple priorities under tight deadlines.
• Knowledge of health benefit programs from risk and cash flow perspectives.

#LI-Hybrid

Minimum Education Requirements:

High school diploma or equivalent unless otherwise noted.

Location

Boston

Time Type

Full-time

Salary Range

$96,393.78 - $118,470.00

The posted salary range reflects the company's current good-faith estimate of pay for this role. Actual pay may vary based on multiple factors. This role is eligible for variable pay and benefits, including paid time off, insurance, 401(k), and well-being programs.

Why Blue Cross Blue Shield of MA?

We value diversity and encourage candidates from all backgrounds to apply. We are committed to an inclusive workplace and supporting your career growth. Learn more about our culture and opportunities on our Company Culture page and join our Talent Community to stay connected. We believe in wellness and work/life balance, supporting your success and well-being.