Medical Underwriter & Pricing Strategist

Mass Digital Health; Southborough (MA); On-site; USD 90,000 - 136,000; Full time

Job summary

nirvanaHealth is hiring a Medical Underwriter to support underwriting analysis, risk assessment, and pricing for new and renewal business. You will prepare quotes, respond to RFPs, and collaborate with sales, client management, and operations to ensure pricing aligns with client needs.

The role emphasizes ownership, independence, proactive problem-solving, and serving as a go-to resource for internal and external stakeholders. 40 hours weekly; full-time position.

Qualifications

• 5+ years of underwriting, financial analysis, pricing methodologies, and/or funding arrangements.
• 2+ years of relevant medical insurance experience: brokers, carriers, TPAs, benefit analysis, underwriting, rating methodologies, or policy marketing.
• Strong analytical, decision-making, and communication skills.
• Proficiency in Excel, Salesforce, Tableau, and/or VBA experience and Microsoft Office.
• Experience communicating with outside consultants or customers.

Responsibilities

• Assists in preparing underwriting analysis and risk assessment for new and renewal business, including cases with significant benefit implications.
• Assists 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 variances to senior leadership as appropriate.
• 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 and coordination with the Operational Team.
• Collaborate with Business Analysis, Sales, Client Management and other stakeholders to support sales and retention.
• Present underwriting information and explain rate development, policies, and product standards to internal and external stakeholders.
• Build and maintain relationships with stop loss carriers to support case resolution and negotiation.
• Clearly articulate Nirvana Health services, underwriting philosophy, and new initiatives to internal and external stakeholders.
• Lead or contribute to departmental projects and continuous improvement initiatives to enhance productivity, accuracy, and customer service.
• Identify and implement opportunities for automation and operational efficiency; influence 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 Nirvana Health product portfolio, underwriting philosophy, and market positioning.
• Support development of proposals aligning 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

Underwriting

Financial analysis

Pricing methodologies

Funding arrangements

Analytical skills

Communication skills

Excel

Salesforce

Tableau

VBA

Microsoft Office

Education

Bachelor's degree

Tools

Excel

Salesforce

Tableau

VBA

Microsoft Office

Job description

nirvanaHealth is hiring a Medical Underwriter to support underwriting analysis, risk assessment, and pricing for new and renewal business. You will prepare quotes, respond to RFPs, and collaborate with sales, client management, and operations to ensure pricing aligns with client needs.

The role emphasizes ownership, independence, proactive problem-solving, and serving as a go-to resource for internal and external stakeholders. 40 hours weekly; full-time position.