Senior Medical Underwriter, Self-Funded Plans

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

Job summary

Highmark Health is seeking an experienced Underwriter for HM Insurance Group to price quotes and analyze contracts for group plans. The role uses underwriting authority within HMIG policies to ensure profitability and growth, while identifying quotes that align with HMIG strategy.

The incumbent analyzes risk factors for enrollment, renewals, and amendments, prepares reports, and supports internal and external stakeholders with pricing, rate computations, and financial activity.

Qualifications

• Bachelor's degree as stated; quantitative discipline preferred.
• 6 years relevant, progressive experience in the area of specialization.

Responsibilities

• Renewal and new business pricing to meet targets.
• Calculate rates and adapt to pricing policy.
• Identify questionable claim patterns and advise on pricing implications.
• Apply risk management policies and adjust pricing for unusual cases.
• Ensure compliance with enrollment conditions and policies.
• Adapt pricing for client-specific situations and market needs.
• Analyze member risk and coordinate with internal teams.
• Support fraud detection, compliance, wellness, and product development initiatives.
• Complete renewals and quotes with timely analysis.
• Communicate pricing recommendations with clear rationale.
• Influence pricing and structure with brokers and partners.
• Provide guidance to junior analysts and maintain tools/processes.

Skills

Stakeholder interaction

Computer systems usage

Independent work

Goal alignment

Privacy compliance

Problem solving

Math aptitude

Education

Bachelor's Degree in Mathematics/Actuarial Science/Finance/Business/CS

Substitutions: 6 years relevant experience

Tools

Internal systems usage

Job description

Highmark Health is seeking an experienced Underwriter for HM Insurance Group to price quotes and analyze contracts for group plans. The role uses underwriting authority within HMIG policies to ensure profitability and growth, while identifying quotes that align with HMIG strategy.

The incumbent analyzes risk factors for enrollment, renewals, and amendments, prepares reports, and supports internal and external stakeholders with pricing, rate computations, and financial activity.