Senior Group Medical Underwriter - Risk & Pricing

Highmark Health; West Virginia; On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Health is seeking an experienced underwriter to price quotes and analyze group contract structures based on claims experience and employee group characteristics. The role involves applying underwriting policies to ensure profitability and growth, managing risk for new enrollments and renewals, and guiding pricing decisions across markets.

The position requires a quantitative bachelor's degree and 5–7 years in underwriting self-funded or converting plans, with strong data interpretation

Qualifications

• Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, CS or related quantitative discipline.
• 6 years of relevant progressive underwriting experience as an alternative.
• Experience in underwriting self-funded and fully insured plans is preferred.

Responsibilities

• Renewals and new business quotes at profitable levels to meet targets.
• Calculate rates, apply pricing policies, and adapt to unusual situations.
• Identify questionable claim patterns and advise on pricing for renewals.
• Apply corporate risk management policies and adjust for special cases.
• Communicate pricing recommendations and influence pricing decisions.

Skills

Underwriting

Risk analysis

Data interpretation

Stakeholder comms

Regulatory compliance

Education

Bachelor's degree in quantitative field

Substitutions: 6 years progressive experience

Job description

Highmark Health is seeking an experienced underwriter to price quotes and analyze group contract structures based on claims experience and employee group characteristics. The role involves applying underwriting policies to ensure profitability and growth, managing risk for new enrollments and renewals, and guiding pricing decisions across markets.

The position requires a quantitative bachelor's degree and 5–7 years in underwriting self-funded or converting plans, with strong data interpretation