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nirvanaHealthPosted 1 week ago

Medical Underwriting Subject Matter Expert

$90,000–$135,860 year

On-siteSouthborough, Massachusetts, United States

Full TimeMedium

Job Summary

Prepare underwriting analysis and risk assessments for new and renewal business, including cases with significant benefit implications. Draft quotes, questionnaires, and financial projections of varying complexity while applying underwriting guidelines to negotiate financial terms within assigned authority. Act as the central contact for final rate submissions, reporting and coordinating with the Operational Team. Collaborate with Business Analysis, Sales, and Client Management to support sales and retention efforts, presenting underwriting information and explaining rate development to stakeholders. Lead departmental projects aimed at enhancing productivity and accuracy, identifying opportunities for automation and operational efficiency. Serve as a trusted resource for internal partners on underwriting and stop loss strategy, analyzing operational data to support financial modeling and fee development.

Required Qualifications

  • 5+ years of experience in underwriting, financial analysis, pricing methodologies, and/or funding arrangements
  • 2+ years of relevant medical insurance experience: brokers (producers), carriers, (TPA) third-party administrators, benefit analysis, underwriting, rating methodologies, or policy marketing, etc.
  • Bachelor's degree required or equivalent years of related experience

Desired Qualifications

  • Strong analytical, decision-making, and communication skills
  • Proficiency in Excel, Salesforce, Tableau, and/or VBA experience and Microsoft Office
  • Experience communicating with outside consultants or customers

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