CrawlJobs Logo

Manager, Medical Underwriter

https://www.cvshealth.com/ Logo

CVS Health

Location Icon

Location:
United States , Hartford

Category Icon
Category:
IT - Administration

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

66330.00 - 145860.00 USD / Year
Save Job
Save Icon
Job offer has expired

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.

Job Responsibility:

  • Support Aetna’s underwriting decisions and strategic goals by evaluating and managing medical risk
  • Partner with underwriting and account teams to assess new and renewal large group cases
  • Review high‑cost claims and project future medical costs based on diagnosis and prognosis
  • Serve as a clinical consultant to Medical Underwriters providing guidance on cases and appeals
  • Approve or deny requests and ensure claim ranges are clinically appropriate
  • Conduct clinical audits and share educational feedback
  • Participate in project work groups including process improvement initiatives.

Requirements:

Registered Nurse, highly technical, analytical clinician with sound understanding of underwriting risk assumptions.

Nice to have:

3 - 5 years of experience in medical underwriting and risk assessment.

What we offer:
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Bonus, commission or short-term incentive program

Additional Information:

Job Posted:
April 24, 2026

Expiration:
April 27, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Icon
CVS Health - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Manager, Medical Underwriter

Underwriting Corporate Intern

The Underwriting Corporate Internship Program is a 10.5-week full-time opportuni...
Location
Location
United States , Hartford
Salary
Salary:
25.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Currently pursuing a Bachelor's degree
  • Have an anticipated graduation date between September 2026 and August 2027
  • Have a major, minor or concentration in Risk Management & Insurance, Economics, Statistics, Mathematics, Business Analytics
  • Have a willingness to commute or relocate to the Hartford, CT office
  • Demonstrated experience with Microsoft Office products including: Excel, Outlook, PowerPoint, and Word
Job Responsibility
Job Responsibility
  • Price new and existing business with the goal of selling and retaining profitable customers
  • Act as a strategic partner to support overall management of your book of business
  • Work with internal partners in sales and account management to negotiate pricing, create benefit plan designs and cross sell additional products/programs in support of our customers
  • Collaborate with actuarial to refine pricing based on changes in future medical costs, trends and customer specific data
  • Participate in leadership development opportunities such as networking, solution-focused business projects and career coaching and feedback
What we offer
What we offer
  • Relocation assistance for candidates that need to move over 50 miles
  • Increased likelihood to receive an offer for a future role with CVS Health
  • Professional development workshops
  • Mentorship and networking opportunities
  • Interaction with senior leaders
  • Community service activities
  • Two days of paid leave
  • Fulltime
Read More
Arrow Right

Senior Stop Loss Underwriter

Our Client, a well-respected specialty managing general underwriter focused on S...
Location
Location
United States , Hartford, Connecticut
Salary
Salary:
100000.00 - 130000.00 USD / Year
daleyaa.com Logo
Daley and Associates
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s or Associates Degree or Equivalent Relevant Work Experience
  • 5+ years of recent experience specifically with Medical Stop Loss Underwriting
  • Advanced Risk Management and Math Skills
  • Strong Knowledge of Medical Underwriting Practices and Principles
  • Strong Customer Service Skills
  • Excellent Communication and Interpersonal skills
What we offer
What we offer
  • Competitive Compensation
  • Outstanding Benefits – Employer Paid Health Insurance, 401K with a match
  • Excellent Work Life Balance, Flexible Hybrid Schedule
  • Great Work Culture
  • Strong Room for Career Growth and Advancement
  • Top Notch Leadership Team
  • Fulltime
Read More
Arrow Right

Senior Underwriter

Location
Location
United States , Sioux Falls
Salary
Salary:
69523.00 - 115871.00 USD / Year
sammonsfinancialgroup.com Logo
Sammons Financial Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree or equivalent industry related experience Required
  • 4-6 years of life insurance underwriting with above average performance or approval authority of $2M or above Required
  • Specialized knowledge and experience in life underwriting and risk selection with proven decision-making ability Required
  • Knowledge of medical and non-medical risk factors and the ability to apply these factors in reaching the most favorable underwriting decision Required
  • Excellent decision making skills with the ability to solve problems innovatively to find ‘win-win’ solutions
  • Strong verbal and written communication skills
  • Self-starter with excellent teamwork skills
  • ability to work independently to accomplish work goals and a willingness to sacrifice personal goals to help achiever overall team success
  • Superior ability to listen and be responsive to customers and who can sell difficult decisions while showing empathy
  • Desire and ability to effectively work with diverse personalities
Job Responsibility
Job Responsibility
  • Evaluate applications for life insurance to classify risks by using company risk selection standards while promoting additional sales of quality business
  • Obtain the information necessary, based on the circumstances of each case, to evaluate each proposed insured’s qualification for the plan and amount of life insurance applied for
  • Call the Agent on every case where an adverse underwriting decision is involved to explain the reason and discuss alternatives, including the use of facultative reinsurance
  • Help Regional Sales Directors and MGAs build their business by leading customized Game Plans and attracting new producers
  • Initiate communication with agents and providers to facilitate the application and policy issue process
  • use the most effective means of communication available - telephone, facsimile, electronic mail, etc
  • Direct Case Managers in obtaining required information and in providing information to agents, other employees and service providers
  • Provide guidance to the Case Manager in screening applications for Jet Issue
  • Take final action on cases as authorized by the Manager, Underwriting pertaining to case size and mortality class
  • refer cases outside authorized limits to underwriting personnel with the requisite authority
What we offer
What we offer
  • Health, Dental, Vision, Company Paid Retirement, PTO and Holiday Pay
  • Employee Stock Ownership Plan (ESOP) is a 100% company-funded retirement plan
  • Healthy balance between work and personal lives. Friday afternoons off all year long, competitive PTO, and generous number of paid holidays
  • Incentive program for defined goals subject to eligibility and performance. Monetary rewards are based on individual and/or overall company performance
  • Colleagues who support one another, model our core values, and drive our healthy, high-performing culture
  • Fulltime
Read More
Arrow Right

Sr. Underwriter - Life Insurance

Location
Location
United States , Sioux Falls
Salary
Salary:
69523.00 - 115871.00 USD / Year
sammonsfinancialgroup.com Logo
Sammons Financial Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree or equivalent industry related experience Required
  • 4-6 years of life insurance underwriting with above average performance or approval authority of $2M or above Required
  • Specialized knowledge and experience in life underwriting and risk selection with proven decision-making ability Required
  • Knowledge of medical and non-medical risk factors and the ability to apply these factors in reaching the most favorable underwriting decision Required
  • Excellent decision making skills with the ability to solve problems innovatively to find ‘win-win’ solutions
  • Strong verbal and written communication skills
  • Self-starter with excellent teamwork skills
  • ability to work independently to accomplish work goals and a willingness to sacrifice personal goals to help achiever overall team success
  • Superior ability to listen and be responsive to customers and who can sell difficult decisions while showing empathy
  • Desire and ability to effectively work with diverse personalities
Job Responsibility
Job Responsibility
  • Evaluate applications for life insurance to classify risks by using company risk selection standards while promoting additional sales of quality business
  • Obtain the information necessary, based on the circumstances of each case, to evaluate each proposed insured’s qualification for the plan and amount of life insurance applied for
  • Call the Agent on every case where an adverse underwriting decision is involved to explain the reason and discuss alternatives, including the use of facultative reinsurance
  • Help Regional Sales Directors and MGAs build their business by leading customized Game Plans and attracting new producers
  • Initiate communication with agents and providers to facilitate the application and policy issue process
  • use the most effective means of communication available - telephone, facsimile, electronic mail, etc
  • Direct Case Managers in obtaining required information and in providing information to agents, other employees and service providers
  • Provide guidance to the Case Manager in screening applications for Jet Issue
  • Take final action on cases as authorized by the Manager, Underwriting pertaining to case size and mortality class
  • refer cases outside authorized limits to underwriting personnel with the requisite authority
What we offer
What we offer
  • Health, Dental, Vision, Company Paid Retirement, PTO and Holiday Pay
  • Employee Stock Ownership Plan (ESOP) is a 100% company-funded retirement plan
  • Healthy balance between work and personal lives
  • Friday afternoons off all year long, competitive PTO, and generous number of paid holidays
  • Incentive program for defined goals subject to eligibility and performance
  • Colleagues who support one another, model our core values, and drive our healthy, high-performing culture
  • Fulltime
Read More
Arrow Right
New

Vice President Of Stop Loss Underwriting

We are seeking a Vice President, Stop Loss Underwriting with a well-established ...
Location
Location
United States , Downers Grove
Salary
Salary:
Not provided
daleyaa.com Logo
Daley and Associates
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of medical stop loss underwriting experience
  • Progressive leadership experience managing underwriting teams and strategy
  • Strong expertise in pricing, risk analysis, and large claims evaluation
  • Experience working cross-functionally with actuarial, claims, sales, and product teams
  • Excellent communication, analytical, and decision-making skills
  • Experience with modern underwriting tools and technologies
Job Responsibility
Job Responsibility
  • Leading underwriting strategy and execution across stop loss products and large claim solutions
  • Overseeing pricing methodologies, risk assessment, and underwriting guidelines
  • Supporting new business development and distribution growth initiatives
  • Driving process improvements, technology enhancements, and operational scalability
  • Managing and mentoring underwriting staff while building a strong performance-oriented culture
  • Collaborating with actuarial and product teams on new products and market opportunities
  • Providing reporting, analytics, and portfolio insights to senior leadership
  • Fulltime
Read More
Arrow Right

Healthcare Insurance Account Handler

We are seeking a Healthcare Insurance Account Handler to join an established ins...
Location
Location
United Kingdom , North West London
Salary
Salary:
35000.00 - 45000.00 GBP / Year
https://www.lawesrecruitment.co.uk Logo
Lawes Consulting Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous experience in account handling, preferably in private medical insurance
  • Excellent communication and interpersonal skills
  • Strong attention to detail and accuracy
  • A solid understanding of healthcare insurance policies and regulations
  • Ability to work efficiently in a fast-paced environment and prioritize tasks effectively
Job Responsibility
Job Responsibility
  • Building and maintaining strong relationships with healthcare insurance clients
  • Assisting clients with their insurance inquiries and providing knowledgeable guidance
  • Managing client accounts and ensuring accuracy of policy information
  • Collaborating with insurance underwriters to provide tailored insurance solutions
  • Monitoring industry trends and keeping clients informed about changes in healthcare insurance regulations
What we offer
What we offer
  • Can be 100% home based
  • Pension
  • Additional 10-15 days holiday each year on top of standard holiday entitlement of 21 days
  • Fulltime
Read More
Arrow Right
New

Vice President, Stop Loss Underwriting

A growing and innovative organization in the healthcare insurance and risk solut...
Location
Location
United States , Oakbrook
Salary
Salary:
200000.00 - 285000.00 USD / Year
daleyaa.com Logo
Daley and Associates
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years of medical stop loss underwriting experience and/or 15+ years of progressive underwriting experience with leadership responsibilities
  • Must be able to be on-site 2–3 days per week
  • Strong expertise in stop loss pricing, risk assessment, and underwriting strategy
  • Proven leadership experience managing and developing underwriting teams
  • Strong analytical, negotiation, and decision-making skills
  • Experience implementing underwriting tools, technologies, and process improvements
  • Advanced Excel and written communication skills required
  • Advanced degree or equivalent experience in business, finance, actuarial science, or related field preferred
Job Responsibility
Job Responsibility
  • Lead the overall underwriting strategy for the stop loss business, aligning performance with profitability, growth, and risk management objectives
  • Oversee underwriting operations for traditional stop loss insurance, gene therapy programs, and large claim solutions
  • Partner cross-functionally with sales, actuarial, claims, product development, and executive leadership teams
  • Develop and enhance pricing methodologies, underwriting guidelines, and risk evaluation frameworks
  • Drive operational improvements through process optimization, technology enhancements, and scalable underwriting practices
  • Lead, mentor, and develop a high-performing underwriting team while fostering a collaborative culture
  • Support business development initiatives and strategic distribution partnerships
  • Ensure underwriting compliance with all regulatory requirements and internal standards
  • Analyze underwriting performance metrics and provide strategic reporting and recommendations to leadership
  • Fulltime
Read More
Arrow Right

Underwriting Consultant

We’re seeking a detail-oriented and analytical Underwriting Consultant to assess...
Location
Location
Canada , Toronto
Salary
Salary:
75600.00 - 125600.00 USD / Year
https://www.randstad.com Logo
Randstad
Expiration Date
June 12, 2026
Flip Icon
Requirements
Requirements
  • 5+ years of individual life underwriting experience
  • $3M+ life underwriting signing authority
  • Strong knowledge of medical, financial, and risk assessment
  • Excellent analytical and decision-making skills
  • Strong communication and stakeholder management abilities
  • Ability to work independently and collaboratively
Job Responsibility
Job Responsibility
  • Assess and evaluate life insurance applications (medical, financial, lifestyle)
  • Determine risk classification, coverage, and pricing decisions
  • Analyze complex cases and supporting documentation
  • Collaborate with advisors and internal teams to deliver timely decisions
  • Maintain strong relationships with stakeholders
  • Ensure compliance with underwriting guidelines and regulations
  • Contribute to process improvements and team best practices
What we offer
What we offer
  • Fully remote with strong work-life balance
  • Base salary- $75,600 - $125,600 annually
  • 8% annual bonus
  • Opportunities for career advancement, access to industry-leading learning programs and up to $2,000 annually towards education reimbursement
  • Flexible health and dental benefits, plus a $5,000 mental health benefit to support your well-being
  • Company-matching pension plan, share ownership program and additional investment options
  • 3 weeks of vacation
  • 3 care days
  • Clear career growth and development opportunities
  • Supportive, collaborative team environment
  • Fulltime
Read More
Arrow Right