Underwriting Senior Associate

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Support Aetna's financial and strategic objectives through effective underwriting analysis and risk management. Identify, evaluate, and quantify risk to help maximize revenue, earnings, and membership growth while protecting the company from financial loss.

Key responsibilities include:

• Perform underwriting analysis and risk assessments for new and renewal large-group business.
• Evaluate pricing, funding arrangements, and contract structures to ensure appropriate risk selection and profitability.
• Support revenue and membership growth through sound underwriting recommendations.
• Manage assigned cases and book of business while balancing competitive positioning with financial performance objectives.
• Develop expertise across multiple product lines, funding arrangements, and rating methodologies.
• Collaborate with internal business partners to deliver underwriting solutions that align with company goals and customer needs.
• Contribute to earnings growth by maintaining underwriting discipline and identifying opportunities to improve account profitability.
• Prepare and deliver routine to moderately complex new business quotes, renewal proposals, and accounting reconciliations for large-group customers.
• Perform detailed financial analysis and underwriting assessments to support pricing decisions, profitability targets, and business growth objectives.
• Independently review work products to ensure accuracy, completeness, and compliance with underwriting guidelines and company standards.
• Partner with managers and mentors to develop pricing strategies and accounting balance recommendations that align with financial goals, risk tolerance, and market competitiveness.
• Utilize underwriting systems, tools, rating platforms, and reference materials to produce accurate and timely customer deliverables.
• Apply established underwriting principles and guidelines while appropriately escalating exceptions, financial variances, and non-standard risks.
• Support sales and account teams by explaining rate development, fee calculations, accounting balances, and underwriting policies to internal and external stakeholders.
• Produce customer-specific reports, documentation, and financial deliverables within established service and quality standards.
• Conduct audits of premiums, fees, claim wires, and receivable activity to ensure financial accuracy and proper accounting treatment.
• Monitor customer allowances and Minority/Women Business Enterprise (MBE/WBE) goals to ensure compliance with applicable guidelines and reporting requirements.
• Participate in departmental projects, cross-functional workgroups, and operational initiatives.
• Identify opportunities for process improvement and support automation, workflow enhancements, and efficiency initiatives that improve accuracy, productivity, and customer experience.

Required Qualifications

• Strong analytical and quantitative skills with the ability to interpret data and make informed business recommendations.
• Demonstrated problem-solving and critical thinking abilities.
• Strong attention to detail and commitment to accuracy.
• Proficiency in Microsoft Office applications, including Excel.
• Effective written and verbal communication skills.
• Ability to prioritize work, manage multiple deadlines, and perform in a fast-paced environment.
• Ability to work independently while collaborating effectively with cross-functional partners.
• Demonstrated ability to learn new systems, processes, and technical concepts.
• Basic understanding of financial analysis, business mathematics, accounting principles, or related quantitative concepts.

Preferred Qualifications

Education

Bachelor's degree or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/18/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.