Sr. Underwriting Analyst (Medical)

Unity Health Insurance • Madison, WI

38d • $71,000 - $88,000

About The Position

Are you looking to join a health insurance organization that's redefining how employers manage healthcare costs? Are you passionate about using your underwriting expertise to make data-driven decisions that impact thousands of lives? Are you experienced working with innovative, level-funded health plans, with expertise for combining cost predictability with flexibility to deliver sound proposals for prospective clients? If you answered yes to any of these questions, please join Quartz as an Underwriting Analyst! We're committed to delivering exceptional value through smart risk management, personalized solutions, and a strong focus on employee growth and engagement. As Sr. Medical Underwriting Analyst, you will bring industry expertise and best practices to drive pricing strategies and underwriting practices for our level-funded products. This role will evaluate and assess health risk for prospective groups, applying medical knowledge and financial analysis to determine eligibility, pricing, and coverage terms. This role requires strong analytical skills, deep understanding of medical terminology, and proficiency in risk modeling for level-funded health plans. You will collaborate closely with Sales, Actuarial, and other internal teams to ensure accurate, timely, and competitive underwriting decisions.

Requirements

• Bachelor's degree in Business, Finance, Economics, Mathematics, Actuarial Science, or related field preferred, equivalent experience will be considered in lieu of education.
• 4+ years in medical underwriting and financial risk modeling experience.
• Level-funded or self-funded health insurance experience required.
• Strong understanding of medical terminology and common health conditions.
• Proficiency in underwriting software, rating engines, and Microsoft Excel; predictive modeling experience a plus.
• Excellent analytical, decision-making, and negotiation skills.
• Ability to manage multiple priorities and deliver accurate results under deadlines.
• Strong communication and interpersonal skills for client and internal interactions.
• Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

Nice To Haves

• Predictive modeling experience a plus.

Responsibilities

• Quantify risks for level-funded products and calculate quotes and renewal rates using rating formulas, tools, and methodologies for prospective groups; validate accuracy of final rates and packaging.
• Apply sound underwriting judgment and product pricing best practices to maintain a profitable book of business while ensuring compliance with company policies and regulations.
• Perform underwriting financial analysis, proposal generation, and ad hoc analytics for new and renewing groups.
• Interpret benefit plan designs and assess impact on pricing.
• Compile and analyze data to identify trends and patterns in risk and claims; prepare detailed reports for senior leadership.
• Explain rate changes and underwriting decisions to internal and external stakeholders.
• Act as a subject matter expert in underwriting and level funded product development, roll out, and cross-functional initiatives
• Partner with Sales, Legal, and Claims to gather necessary information and ensure accurate risk assessment.
• Communicate decisions clearly to brokers, clients, and internal teams; maintain positive relationships with stakeholders.
• Identify opportunities to improve underwriting processes and tools; implement enhancements.
• Participate in training and development programs to stay current on industry trends and regulatory changes.

Benefits

• Serve as a subject matter experience, bringing industry knowledge & market best practices to influence underwriting strategy and operations for level-funded health insurance products.
• Collaborative, growth-oriented environment with opportunities for learning and advancement.
• Starting salary based upon skills and experience: $71,000 - $88,000 plus robust benefits package
• We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities