Case Underwriter (Healthtech)

TL;DR

Case Underwriter (Healthtech/PBM): Executing pricing and underwriting for new and renewing business opportunities with an accent on financial modeling and accurate RFP responses. Focus on analyzing historical claims data and developing pricing models for new health products.

Location: Remote (USA)

Salary: $95,000 - $110,000 USD

Company

Enterprise health technology company providing pharmacy benefit management (PBM) and health benefit management solutions for employers and health plans in the U.S.

What you will do

• Execute day-to-day pricing and underwriting for new and renewing business opportunities.
• Coordinate with Sales and RFP teams to submit timely and complete RFP responses.
• Design, refine, and maintain internal underwriting, financial modeling, and financial reporting SOPs.
• Validate that contract terms align with proposal underwriting parameters during client contracting.
• Analyze historical claims and external data to optimize underwriting practices and determine risk.
• Support the development of pricing models for new products and general financial analytics.

Requirements

• Bachelor's degree in Accounting, Finance, Actuarial Science, Statistics, or Economics.
• 2+ years of proven experience in financial analysis, actuarial services, pricing, or underwriting.
• Pharmacy, PBM, or Health Plan experience required.
• Proficiency in Excel and data visualization tools.
• Strong knowledge of risk management, statistics, and financial modeling.
• Must be based in the US.

Nice to have

• Experience with SQL, SAS, or R.

Culture & Benefits

• Opportunity to contribute to rebuilding trust and infrastructure in the U.S. healthcare system.
• Collaborative work environment across Sales, Executive, and Product teams.
• Commitment to a diverse workplace and equal employment opportunities.
• Remote work arrangement.