Underwriting Consultant

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Underwriting Consultant plays an important role in supporting financial analysis and underwriting for large group commercial customers, across both Fully Insured and Self Insured business. In this position, you will apply underwriting guidelines and analytical skills to develop pricing recommendations, assess risk, and project future costs for new business and renewal accounts.

This role partners closely with Medica Sales to provide clear pricing rationale and support renewal and sales strategies that balance customer needs with Medica's financial objectives. The Underwriting Consultant is expected to exercise sound judgment, contribute to pricing discussions, and continue building expertise in a competitive market.

Key Responsibilities

• Support underwriting activities for assigned large group commercial opportunities across Fully Insured and Self Insured products, including new business and renewals.
• Perform financial analysis using group census data, claims experience, and reporting to project future claim costs.
• Contribute to underwriting support for RFPs, including large and complex cases.
• Develop and evaluate pricing recommendations aligned with underwriting guidelines and risk considerations.
• Collaborate with Sales and Account Management to support renewal strategy development and customer discussions.
• Assist in communicating underwriting rationale, risks, and recommendations to internal stakeholders.
• Apply sound business judgment in evaluating risk, with support from senior team members as needed.
• Build knowledge of large group underwriting, including Self Insured funding arrangements and plan design considerations.
• Maintain awareness of market trends and industry developments impacting underwriting decisions.

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 4+ years of professional experience in health insurance underwriting or a related field.
• Experience within the healthcare insurance industry preferred.
• Experience supporting large group commercial underwriting.
• Experience using claims and experience reporting to assess risk and project future costs.
• Strong analytical skills with the ability to translate data into clear insights.
• Strong written and verbal communication skills.

Preferred Qualifications

• Experience with both Fully Insured and Self Insured large group business; Self Insured experience is a plus.
• Experience supporting RFPs or large case underwriting.
• Working knowledge of self-funded concepts, stop loss, and funding arrangements.
• Experience working with claims data and experience reporting tools.

Skills and Abilities

• Strong relationship-building, communication, and organizational skills.
• Ability to work cross-functionally and contribute to team-based outcomes.
• Ability to evaluate data and support well-reasoned recommendations.
• Developing ability to influence decisions and communicate effectively with internal partners.
• Experience supporting pricing in a competitive commercial market.

Work Environment

This position is an office role, requiring employees to work onsite at our Minnetonka, MN office on average 3 days per week.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.