Senior Medical Underwriter: Contracting & Network Development

Prisma; Greenville (SC); On-site; USD 100,000 - 150,000; Full time

Job summary

Prisma Health is seeking a seasoned underwriter to manage stop-loss and related health insurance underwriting. The role focuses on evaluating risks, developing pricing models, and guiding proposals with sales teams.

The candidate will work closely with brokers, payers, and internal departments to optimize profitability and ensure regulatory compliance. The position demands 7–10 years of underwriting experience, familiarity with underwriting software, and strong analytical and communication

Qualifications

• Bachelor’s degree in Business, Finance, or a related field.
• 7–10 years of underwriting and risk assessment experience.
• Experience with stop‑loss and health insurance products welcome.

Responsibilities

• Develop underwriting programs, policies, and guidelines to ensure profitability.
• Review stop‑loss offers and advise on pricing and terms for proposals.
• Create financial models for forecasting, budgets, and KPI analysis.
• Communicate with partners on risk levels and forecasted claims costs.
• Maintain records of underwriting decisions and ensure regulatory compliance.

Skills

Underwriting

Risk assessment

Pricing analysis

Communication skills

Attention to detail

Team collaboration

Education

Bachelor's degree in Business or Finance

Tools

Underwriting software

Spreadsheets

Job description

Prisma Health is seeking a seasoned underwriter to manage stop-loss and related health insurance underwriting. The role focuses on evaluating risks, developing pricing models, and guiding proposals with sales teams.

The candidate will work closely with brokers, payers, and internal departments to optimize profitability and ensure regulatory compliance. The position demands 7–10 years of underwriting experience, familiarity with underwriting software, and strong analytical and communication