Senior Manager, Medical Underwriter

Overview We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. As part of CVS Health, you will help simplify health care for people, families, and communities while leading medical underwriting strategy and execution within Aetna’s Supplemental Health Large Group division. Responsibilities Direct medical underwriting operations for the MedPremier/Boon medical book, setting case‑level standards for new business evaluation, renewal rate actions, and exception management in line with divisional pricing governance. Evaluate large‑group medical RFPs from start to finish: census and plan design review, actuarial rate alignment, competitive positioning, and final proposal packaging for brokers and consultants. Manage the annual renewal cycle for the assigned medical book, including experience pulls, loss‑ratio analysis, rate‑action recommendations, and broker negotiations, with proactive intervention on accounts exceeding target loss ratios. Collaborate with the actuarial team to align filed rates with emerging experience data, escape cases outside delegated authority, and support WD5 financial close reporting on earned premium and incurred claims. Approve medical underwriting exceptions and financial variances within delegated authority; elevate cases to lead leadership when required. Lead broker and consultant‑facing engagements, such as BAFO presentations, experience reviews, and renewal negotiations, communicating Aetna’s underwriting rationale with clarity and credibility. Collaborate cross‑functionally with sales, enrollment operations, commissions, and compliance to support plan implementations, QLE administration, and regulatory requirements unique to the FI medical segment. Manage team performance, workflow prioritization, and development for two direct reports, balancing turnaround SLAs against case complexity and account ownership. Qualifications 5+ years of large‑group medical underwriting experience, with full‑cycle responsibility for both new business and renewals. Fluency in medical underwriting financials, including loss ratios, PMPM trends, IBNR/completion factors, rate adequacy, and credibility analysis. Experience managing broker/consultant relationships in a competitive, multi‑carrier environment. Proficient with group medical rating tools and UW case‑management platforms. Strong written communication skills for executive‑ready memos, broker‑facing proposals, and escalation summaries. Proven ability to execute and deliver under competing priorities and turnaround deadlines in a high‑volume environment. Expertise in problem‑solving and decision‑making under uncertainty, with comfort operating within a delegated authority framework. Bachelor’s degree (required); concentration in mathematics, finance, actuarial science, or business preferred. Relevant professional qualification (ALHC, FLHC) a plus. Pay Range The typical pay range for this role is $67,900.00 – $182,549.00, representing the base hourly rate or base annual salary. The actual base salary will depend on experience, education, geography and other factors. The position is eligible for a CVS Health bonus, commission or short‑term incentive program, and includes an award target in the company’s equity award program. Benefits Full‑time employees receive a comprehensive benefits package that includes medical, dental and vision coverage, paid time off, retirement savings options, wellness programs and additional resources, determined by eligibility. Additional benefit details are provided during the application process and on Benefits Moments. EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr 4062 Aetna Resources, LLC