[Hiring] Senior Manager, Medical Underwriter @CVS Health

Role Description

Leads medical underwriting strategy and execution within Aetna's Supplemental Health Large Group division, managing risk evaluation and financial performance for the MedPremier/Boon fully insured medical product portfolio. Directs a small team of underwriters responsible for new business quoting, renewal management, and broker engagement across large group accounts. Ensures rate adequacy and loss ratio performance align with divisional financial targets while delivering competitive, broker-ready proposals. Partners closely with actuarial leadership on pricing governance and escalated case approvals within a tiered underwriting authority framework.

• Directs medical underwriting operations for the MedPremier/Boon medical book.
• Sets case-level standards for new business evaluation, renewal rate actions, and exception management.
• Evaluates large group medical RFPs end-to-end, including census and plan design review, actuarial rate alignment, competitive positioning, and final proposal packaging for brokers and consultants.
• Manages annual renewal cycle for the assigned medical book, including experience pulls, loss ratio analysis, rate action recommendations, and broker negotiation.
• Partners with the Actuarial team to align filed rates with emerging experience and escalate cases outside delegated authority.
• Approves medical underwriting exceptions and financial variances within delegated authority.
• Leads broker and consultant-facing engagements, including BAFO presentations, experience reviews, and renewal negotiations.
• Collaborates cross-functionally with Sales, Enrollment Operations, Commissions, and Compliance.
• Manages team performance, workflow prioritization, and development for two direct reports.

Qualifications

• 5+ years of large group medical underwriting experience, including full-cycle responsibility for both new business and renewals.
• Demonstrated fluency in medical underwriting financials: loss ratios, PMPM trends, IBNR/completion factors, credibility, and rate adequacy analysis.
• Experience managing broker/consultant relationships in a competitive, multi-carrier environment.
• Proficiency with group medical rating tools and UW case management platforms.
• Strong written communication skills for executive-ready memos, broker-facing proposals, and escalation summaries.
• Adept at execution and delivery — managing competing priorities and turnaround deadlines in a high-volume environment.
• Mastery of problem solving and decision-making under uncertainty, with comfort operating within a delegated authority framework.

Requirements

• Bachelor's degree required; concentration in mathematics, finance, actuarial science, or business preferred.
• Relevant professional qualification (ALHC, FLHC) a plus.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.