Senior Medical Underwriter – Self-Funded Groups

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

Job summary

Highmark Health is seeking an experienced underwriting professional to price quotes, analyze group contracts, and manage risk across self-funded and fully insured plans. The role emphasizes profitability, growth, and adherence to HMIG policies while working with internal teams and clients in a complex market.

Responsibilities include renewing accounts, writing new business at profitable levels, and guiding junior analysts.

Qualifications

• Bachelor’s degree in a quantitative discipline or related field.
• 5–7 years’ underwriting experience, self-funded or converting to self-funding.
• Strong analytical and mathematical aptitude.
• Ability to interact with internal/external stakeholders.

Responsibilities

• Renew accounts and write new business at profitable levels; use data tools to complete work.
• Calculate rates and apply pricing policies.
• Identify questionable claim patterns and advise on pricing decisions.
• Support risk management and compliance with policies and guidelines.
• Guide and train junior analysts and maintain departmental tools.
• Adapt pricing to changing markets and communicate rationale to stakeholders.

Skills

Stakeholder management

Interdepartmental coordination

Analytical skills

Problem solving

Negotiation skills

Ethical practices

Education

Bachelor’s degree in quantitative field

Job description

Highmark Health is seeking an experienced underwriting professional to price quotes, analyze group contracts, and manage risk across self-funded and fully insured plans. The role emphasizes profitability, growth, and adherence to HMIG policies while working with internal teams and clients in a complex market.

Responsibilities include renewing accounts, writing new business at profitable levels, and guiding junior analysts.