Senior Underwriter - Group Medicare

CVS Health; Trenton (NJ); Remote; USD 66,000 - 146,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Group Medicare Underwriter to perform complex underwriting analysis and risk assessment for existing and prospective Medicare Advantage customers. You will partner with sales and account management to drive growth, develop pricing strategies, and provide consultative support across large employer groups.

The role requires 4+ years of underwriting experience, strong analytical abilities, and excellent communication.

Qualifications

• 4+ years of underwriting experience with pricing methodologies.
• Group Medicare underwriting experience or fully insured underwriting.
• Bachelor's degree or equivalent.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication.
• Ability to partner with sales, account management and underwriting leadership.
• Proficiency with Microsoft Office and business applications.
• Ability to explain complex financial concepts to diverse audiences.

Responsibilities

• Perform underwriting analysis and risk assessment for existing Group Medicare Advantage customers.
• Evaluate new business opportunities and pricing for prospective groups.
• Partner with field sales and account management on large employer group opportunities.
• Calculate complex prospective group rates using established underwriting methodologies.
• Analyze benefit design options and provide pricing recommendations.
• Explain rate development, pricing assumptions, and underwriting decisions to stakeholders.
• Present underwriting and pricing information to employers and brokers.
• Use advanced rating, financial, and underwriting tools to analyze risk and profitability.
• Conduct competitive analyses and financial comparisons to support strategy.
• Participate in or lead process improvement initiatives and projects.

Skills

Underwriting experience

Analytical skills

Communication skills

Team partnership

Microsoft Office

Explain complex concepts

Education

Bachelor's degree or equivalent

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

As part of the Group Medicare organization, the Group Medicare Underwriter performs complex underwriting analysis and risk assessment for existing and prospective Medicare Advantage customers. This role serves as a strategic business partner to sales and account management teams, helping drive growth through sound underwriting practices, pricing strategies, and consultative support.

What You’ll Do

• Perform underwriting analysis and risk assessment for existing Group Medicare Advantage customers.
• Evaluate new business opportunities and develop pricing recommendations for prospective Group Medicare Advantage groups.
• Partner with field sales and account management teams on strategic large employer group opportunities.
• Calculate complex prospective group rates utilizing established underwriting methodologies and pricing protocols.
• Analyze benefit design options and provide strategic recommendations related to pricing and competitiveness.
• Communicate and explain rate development, pricing assumptions, and underwriting decisions to internal and external stakeholders.
• Present underwriting and pricing information to employers and brokers in support of business development efforts.
• Utilize advanced rating, financial, and underwriting tools to analyze risk and profitability.
• Conduct competitive analyses and develop financial comparisons to support business strategy.
• Participate in or lead process improvement initiatives and special projects.

Required Qualifications

• 4+ years of underwriting experience, including pricing methodologies and funding arrangements.
• Group Medicare underwriting experience OR Fully Insured underwriting experience is required.
• Bachelor's degree or equivalent combination of education and experience.
• Strong analytical, problem-solving, and independent decision-making skills.
• Excellent written and verbal communication skills.
• Ability to effectively partner with sales teams, account management, and underwriting leadership.
• Proficiency with Microsoft Office and other business applications.
• Ability to clearly communicate complex financial and underwriting concepts to diverse audiences.

Preferred Qualifications

• Experience underwriting Group Medicare Advantage products.
• Experience supporting large employer group clients.
• Advanced knowledge of healthcare insurance pricing and risk assessment.
• Experience presenting underwriting recommendations to brokers, consultants, and customers.

Additional Information

• Hartford, CT area candidates are strongly preferred; however, qualified remote candidates located anywhere in the United States will be considered.
• This position is not eligible for employment sponsorship now or in the future.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.