Health Plan Underwriter

Remote

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$75,000 – $85,000Compensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree in a quantitative field such as math, actuarial science, statistics, risk/insurance, economics, econometrics, or financial analysis. A minimum of 4 years of experience in healthcare or health insurance is required, along with 2 years of experience underwriting both fully insured and self-insured cases. Additionally, 2 years of experience with stop loss placement, negotiation, pricing, or underwriting is necessary. Sophisticated skills in analytical tools like Excel and Tableau are essential, with SQL being a plus. Knowledge of healthcare, particularly claims, reimbursement, and risks, is important, as are strong prioritization, organization, and communication skills. Proficiency in Microsoft Office Suite (PowerPoint, Word) is also required. Preferred qualifications include advanced education such as a Master's in Public Health or a health underwriting certification.

Responsibilities

The Underwriting Analyst/Underwriter will support the sales team by developing and delivering financial analyses, including underwriting, actuarial, and stop loss performance. This role involves designing, developing, and implementing pricing models with risk-sharing methodologies that align with company financials and business results. Responsibilities include designing, developing, and maintaining financial/underwriting models for sales, RFP responses, renewals, and provider/network contracting. The individual will collaborate with other teams to improve stop loss processes, provide technical analysis on stop loss quotes and renewals, and potentially lead negotiations for stop loss proposals. They will also assist the Growth team and benefit advisors with plan design, contribution modeling, and premium equivalent development, and work with Client Success and Healthcare Analytics teams to prepare year-end client reviews and renewals.

Skills

Underwriting

Financial Analysis

Actuarial Analysis

Stop Loss Analysis

Pricing Models

Data Analysis

Healthcare Delivery

Health Benefit Plans

Analytics Software

RFP Responses

Negotiation

Plan Design

Contribution Modeling

Premium Equivalents

Benefit Plan Accrual Rates

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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