Medicare Group Underwriter - Strategic Pricing & Risk

CVS Health; Trenton (NJ); Remote; USD 66,000 - 146,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Group Medicare Underwriter to perform complex underwriting analysis and risk assessment for existing and prospective Medicare Advantage customers. You will partner with sales and account management to drive growth, develop pricing strategies, and provide consultative support across large employer groups.

The role requires 4+ years of underwriting experience, strong analytical abilities, and excellent communication.

Qualifications

• 4+ years of underwriting experience with pricing methodologies.
• Group Medicare underwriting experience or fully insured underwriting.
• Bachelor's degree or equivalent.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication.
• Ability to partner with sales, account management and underwriting leadership.
• Proficiency with Microsoft Office and business applications.
• Ability to explain complex financial concepts to diverse audiences.

Responsibilities

• Perform underwriting analysis and risk assessment for existing Group Medicare Advantage customers.
• Evaluate new business opportunities and pricing for prospective groups.
• Partner with field sales and account management on large employer group opportunities.
• Calculate complex prospective group rates using established underwriting methodologies.
• Analyze benefit design options and provide pricing recommendations.
• Explain rate development, pricing assumptions, and underwriting decisions to stakeholders.
• Present underwriting and pricing information to employers and brokers.
• Use advanced rating, financial, and underwriting tools to analyze risk and profitability.
• Conduct competitive analyses and financial comparisons to support strategy.
• Participate in or lead process improvement initiatives and projects.

Skills

Underwriting experience

Analytical skills

Communication skills

Team partnership

Microsoft Office

Explain complex concepts

Education

Bachelor's degree or equivalent

Job description

CVS Health is seeking a Group Medicare Underwriter to perform complex underwriting analysis and risk assessment for existing and prospective Medicare Advantage customers. You will partner with sales and account management to drive growth, develop pricing strategies, and provide consultative support across large employer groups.

The role requires 4+ years of underwriting experience, strong analytical abilities, and excellent communication.