Underwriter - Pharmacy

Overview

The organization is seeking an Underwriter – Pharmacy within its Commercial Operations Division. This role is part of an underwriting team focused on pharmacy-related pricing, contracts, configuration, and related underwriting analytics. Responsibilities center on evaluating critical information to assess risk and support financial stability for client pharmacy claim costs, including known marketplace impacts.

This is a remote position with a Monday–Friday, 8-hour schedule primarily between 8:00 a.m. and 5:00 p.m. ET.

Responsibilities

• Collect information and coordinate with sales, account managers, agents, and other parties as needed to clarify and correct inconsistent, incorrect, or missing group health application information.
• Perform risk appraisals for group health insurance prospect and renewals, including evaluation and classification of group risk to determine acceptability, coverage, and pricing.
• Calculate and negotiate rates and premium charges for group health insurance using approved formulas and tables.
• Communicate with sales, account managers, agents, and other parties regarding group health insurance products, features, and pricing.
• Support ongoing maintenance and enforcement of underwriting guidelines and provide underwriting expertise for projects supporting sales, marketing, membership and billing, legal, or actuarial organizations.

Requirements

Education

• Bachelor’s Degree in Mathematics, Finance, Accounting, or related field, or equivalent work experience.

Experience

• 2 years in Stop Loss UWg, Financial UWg, Actuarial, or Fin. Mgmt. experience.

Skills / Certifications

• Excellent oral and written communication skills.
• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint).
• Strong analytical, planning, interpersonal, organizational, and research skills, with the ability to manage multiple projects.
• Ability to work independently with minimal supervision or function effectively in a team environment with shared responsibility.
• Effective negotiation, presentation, and facilitation skills.

Preferred Qualifications

• None listed.

Compensation & Benefits

• Not specified.

Location

• Remote position.
• Monday–Friday 8-hour schedule primarily between 8:00 a.m. - 5:00 p.m. ET.
• During peak season from March to September, additional hours may be required, including weekends.
• Location preference for candidates who reside within a 2-hour drive of Chattanooga, TN headquarters.
• Sponsorship is not available for this role.

Openings

• 1

Equal Employment Opportunity

The employer recruits, hires, trains, and promotes individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.