Senior Medical Underwriter - Group Plans & Pricing

Highmark Health; Beryl (WV); On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Health's HM Insurance Group is seeking an experienced underwriting professional to price quotes and analyze group contracts based on claims experience and employee group characteristics. The role works within underwriting policies to ensure profitability and growth and to determine when quotes should be declined.

You will prepare reports, support risk management, and influence pricing and structure for quotes, renewals, and amendments, while guiding junior analysts and aligning with

Qualifications

• Bachelor's degree in a quantitative field.
• 5-7 years underwriting experience in self-funded or converting to self-funding.
• Strong math, analytical, and negotiation skills.

Responsibilities

• Renewals and new business pricing at profitable levels.
• Calculate rates and interpret pricing policies.
• Identify questionable claim patterns for renewal clients and assess competitor data.
• Apply risk management policies and adjust for unusual pricing scenarios.
• Guide lower level analysts and provide technical assistance.
• Maintain and improve departmental tools and processes.

Skills

Stakeholder comms

Analytical thinking

Underwriting expertise

Regulatory compliance

Financial analysis

Education

Bachelor's Degree in Quantitative field

6 years relevant experience

Professional designation (CEBS/AHIP) in progress

Tools

Excel

Pricing systems

CRM/ERP systems

Job description

Highmark Health's HM Insurance Group is seeking an experienced underwriting professional to price quotes and analyze group contracts based on claims experience and employee group characteristics. The role works within underwriting policies to ensure profitability and growth and to determine when quotes should be declined.

You will prepare reports, support risk management, and influence pricing and structure for quotes, renewals, and amendments, while guiding junior analysts and aligning with