Underwriting Consultant (Meritain Health)

CVS Health • New York, NY

1d • Remote

About The Position

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. Position Summary 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.

Requirements

• 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.
• High school diploma or GED.

Nice To Haves

• 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.

Responsibilities

• 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.

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees