Lead Underwriter & Team Coach — Risk & Quotes

CVS Health; Harrisburg (Dauphin County); On-site; USD 60,300 - 145,860; Full time

Job summary

CVS Health is seeking an Underwriting Manager for Meritain Health to lead a team of underwriters and drive risk assessment, pricing, and proposal development. The role emphasizes proactive coaching, quality reviews, and collaboration with internal and external stakeholders.

The ideal candidate has 5+ years in underwriting or related fields, 2+ years in medical insurance, and strong skills in Excel, Salesforce, and pricing strategies. A bachelor's degree is required.

Qualifications

• 5+ years of underwriting, financial analysis, pricing methodologies, and/or funding arrangements.
• 2+ years of relevant medical insurance experience: brokers (producers), carriers, (TPA) third-party administrators, benefit analysis, underwriting, rating methodologies, or policy marketing, etc.

Responsibilities

• Proactively manage the workflow and shifting priorities of the underwriting unit to ensure timely, accurate deliverables.
• Provide daily support, coaching, and mentorship to a team of underwriters, fostering skill development and professional growth.
• Conduct quality reviews, identify learning opportunities, and oversee training for both internal staff and external stakeholders.
• Lead team meetings and serve as the first point of contact for complex case issues or challenges.
• Support hiring, onboarding, and ongoing talent development of direct reports.
• May provide coverage for the department leader as needed.
• Assist in underwriting analysis and risk assessment for new and renewal business, including cases with significant benefit implications.
• Assist in the preparation of quotes, questionnaires, and financial projections of varying complexity.
• Apply underwriting guidelines and negotiate financial terms within assigned authority; elevate exceptions and financial variances to senior leadership as appropriate, balancing membership, revenue growth, and profitability.
• Ensure pricing strategies align with business objectives and client needs.
• Assist team members in navigating complex or sensitive sales and renewal situations.
• Act as the central contact for final rate submissions (Final & Firm process), including reporting and coordination with underwriters and operational teams.
• Collaborate with Business Analysis, Sales, Client Management, and other internal stakeholders to support sales and retention efforts.
• Present underwriting information and explain rate development, underwriting policies, and product standards to internal and external stakeholders.
• Build and maintain relationships with stop loss carriers to support case resolution and negotiation efforts.
• Clearly articulate Meritain’s services, underwriting philosophy, and new initiatives to internal and external stakeholders.
• Lead or contribute to departmental projects and continuous improvement initiatives aimed at enhancing productivity, accuracy, and customer service.
• Identify and implement opportunities for automation and operational efficiency; influence the development of tools and resources.
• Support the use and optimization of underwriting tools, systems, and reporting platforms.
• Provide strategic input on stop loss placement, pricing, and product positioning.
• Demonstrate deep knowledge of Meritain’s product portfolio, underwriting philosophy, and market positioning.
• Support the development of proposals that align with client goals and organizational strategies.
• Analyze operational data and apply insights to financial modeling and fee development.
• Serve as a trusted resource for internal partners on underwriting and stop loss strategy.

Skills

Leadership

Analytical thinking

Communication

Education

Bachelor's degree

Tools

Excel

Salesforce

Microsoft Office

Tableau

VBA

Job description

CVS Health is seeking an Underwriting Manager for Meritain Health to lead a team of underwriters and drive risk assessment, pricing, and proposal development. The role emphasizes proactive coaching, quality reviews, and collaboration with internal and external stakeholders.

The ideal candidate has 5+ years in underwriting or related fields, 2+ years in medical insurance, and strong skills in Excel, Salesforce, and pricing strategies. A bachelor's degree is required.