Underwriting Manager

Medical Underwriting Manager

Location: Kansas City Metro Area (Overland Park, KS)

Schedule: Hybrid (3 days onsite, 2 days remote after training)

Overview

Aston Carter is partnering with a client in the Kansas City metro area to hire a Medical Underwriting Manager. This leadership role is responsible for overseeing a team focused on small group medical underwriting while maintaining underwriting quality, operational efficiency, and exceptional service standards.

The ideal candidate will bring a strong background in small group medical underwriting, database underwriting, and people leadership. This position offers the opportunity to influence underwriting strategy, drive process improvements, and develop a high-performing team, with future growth potential into a Director-level role.

Key Responsibilities

• Lead, coach, and develop a team of medical underwriters.

• Manage daily underwriting operations for small group health insurance business.

• Oversee new business, renewals, eligibility reviews, rescission reviews, and policy issuance.

• Make final underwriting, risk, and rate determination decisions on complex cases.

• Establish performance expectations, productivity goals, and quality standards.

• Review underwriting reports, medical cost data, and renewal activity to support business decisions.

• Partner with sales teams, agents, general agents, and program managers to ensure excellent service and communication.

• Monitor underwriting accuracy, compliance, and consistency across the team.

• Identify and implement process improvements to increase efficiency and effectiveness.

• Maintain and update underwriting guidelines, procedures, and documentation.

• Serve as Acting Director of Underwriting when needed.

Required QualificationsMust-Have Experience

• 3+ years of small group medical underwriting experience.

• Prior Underwriting Manager, Supervisor, or Team Lead experience with direct reports.

• Database underwriting experience.

• Experience underwriting groups ranging from 2-125 employees.

• Strong understanding of medical underwriting principles, risk assessment, and rate development.

• Experience reviewing and approving renewals, new business, and eligibility determinations.

• Proven ability to make sound underwriting and risk decisions.

• Advanced Microsoft Excel skills, including reporting and data analysis.

• Strong communication and stakeholder management skills.

Preferred Qualifications

• Experience within a health insurance carrier, TPA, or employee benefits organization.

• Experience managing external or contract underwriters.

• Process improvement and workflow optimization experience.

• Ability to step into leadership responsibilities when needed.

• Interest in long-term career growth into a Director-level position.

Job Type & Location

This is a Permanent position based out of Overland Park, KS.

Pay and Benefits

The pay range for this position is $70000.00 - $90000.00/yr.

Eligible for PTO and retirement

Workplace Type

This is a hybrid position in Overland Park,KS.

Application Deadline

This position is anticipated to close on Aug 4, 2026.

About Aston Carter

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on click.appcast.io (%View email address on click.appcast.io) for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.