Underwriting Consultant (Meritain Health)

Underwriting Consultant

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

This Underwriting Consultant is a part of Meritain Health, an independent subsidiary of Aetna and CVS, and one of the nation's largest employee benefits administrators. We have the resources of a national carrier, coupled with the unique flexibility and devoted service of a third-party administrator (TPA). The Meritain Health underwriting department supports the attainment of organizational goals through the issuance of prospective and existing business quotations and proposals, including administrative fee pricing, stop-loss, RFP (Request for Proposal) questionnaire responses, and plan consultation. This fully remote position will have the opportunity to work on a diversified book of business, including Mid-Market, Select / Key Accounts, Small Group, and our Captive / Alternate channels.

Responsibilities Include :

Provide guidance and consultation to our Sales and Client Management teams on pricing and stop-loss strategies.

Prepare and deliver moderately complex new business quotes, existing business renewals, and / or accountings, while meeting established departmental TAT (turnaround time) goals.

Prepare financial projections on prospects, utilizing financial models in Microsoft Excel and Salesforce.

Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships, and cost avoidance / reduction efforts.

Work with leaders from key functional areas to understand potential impacts for custom requests.

Manage and interpret operational data, and apply to fee development and financial analysis.

Present to internal / external customers, constituents, and business partners.

Display a clear understanding of the Meritain products and services, along with strong business and systems knowledge.

Review work for accuracy and recommend pricing and / or accounting alternatives based on financial analysis, underwriting principals, and business strategy.

Develop and participate in presentation to existing and prospective customers, business partners, and internal business areas.

Collaborate with leadership in Sales to determine the appropriate product mix to issue on proposals that target reducing total cost of care for the plan sponsor.

Independently assist sales and client management personnel in explaining rates / fees and communication of underwriting and stop loss policies.

Establish and maintain a positive and productive relationship with sales, client management, our stop loss panel, and internal partners.

Required Qualifications

1-2 years of medical insurance experience, including brokers (producers), carriers, third-party administrators, benefit analysis, underwriting, stop-loss products, rating methodologies, or policy marketing.

Preferred Qualifications

Excellent verbal and written communication skills.

Exceptional problem solving and decision-making skills.

Demonstrated analytical skills.

Adept at collaboration and teamwork.

Adept at growth mindset (agility and developing yourself and others) skills.

Bachelor's degree and / or specialized training certification.

Intermediate / advanced Microsoft Excel skills.

Education

High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is : $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great Benefits for Great People

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 12 / 02 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.