Full-Time
Stop Loss Underwriter II
Required: Medical Stop Loss Insurance Experience
Posted on 8/19/2025
MedImpact
1,001-5,000 employees
Independent PBM reducing prescription costs
Compensation Overview
$29 - $48/hr
No H1B Sponsorship
San Diego, CA, USA
Remote
 Finance & Banking (2) |
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- Bachelor's degree in business, finance, mathematics, actuarial science, or a related field. Advanced degree or professional certifications are plus (or equivalent combination of education and experience)
- a minimum 3+ years’ experience in underwriting or stop loss for health care accounts or equivalent combination of experience
- Knowledge of Artificial Analytics tools i.e., Gradient, Verikai, software, internet software and Microsoft Office Suite and Outlook
- Thorough understanding of medical insurance terminology, concepts, and underwriting principles, with knowledge of regulatory requirements and industry best practices
- Analytical skills, with the ability to interpret and analyze large datasets, identify trends, and make data-driven underwriting decisions
- Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments
- Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions
- Initiative - Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate action
- Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others’ viewpoints, respecting differences and building strong relationships and networks
- Planning - Produces realistic, effective plans with clear actions and objectives, workable timelines and specific methods to measure progress, taking into account overall goals, required resources and potential obstacles
- Reliability - Maintains good record of attendance and punctuality, conscientiously follows through on actions without excessive need for supervision, fulfills commitments
- Quality Focus - Demonstrates a personal investment in ensuring the quality of products and/or services, going the extra mile to meet or exceed standards
- Remote work location
- Evaluate and underwrite medical stop loss insurance applications, assessing risk factors such as claims history, medical conditions, demographics, and policy provisions
- Utilize actuarial tools, statistical models, and industry benchmarks to assess the potential risk exposure of each policy and determine appropriate premium rates and coverage limits
- Review and analyze policy documents, endorsements, and other relevant materials to ensure compliance with underwriting guidelines, regulatory requirements, and company standards
- Analyze large volumes of claims data to identify trends, patterns, and emerging risks, providing insights to support underwriting decisions and pricing strategies
- Collaborate with brokers, agents, and clients to gather additional information, clarify underwriting requirements, and negotiate terms and conditions of coverage
- Monitor the performance of the medical stop loss portfolio, tracking key performance indicators (KPIs), analyzing loss ratios, and recommending adjustments to underwriting strategies as needed
- Develop and update underwriting guidelines, policies, and procedures to reflect changes in market conditions, regulatory requirements, and emerging industry trends
- Implement risk mitigation measures, such as reinsurance arrangements, risk-sharing agreements, and alternative risk transfer solutions, to protect the company's financial interests and minimize exposure to catastrophic losses. Ensure compliance with all applicable laws, regulations, and industry standards governing medical stop loss insurance underwriting activities, maintaining the highest ethical standards at all times
- This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.
Company Size
1,001-5,000
Company Stage
Seed
Total Funding
$2.8M
Headquarters
San Diego, California
Founded
1989
Simplify's Take
What believers are saying
- GLP-1 market expansion captures $100B+ obesity drug category with high-margin services.
- Captive insurance acquisitions unlock SMB market segment demanding cost transparency alternatives.
- Sav-Rx labor union expertise provides premium pricing power in historically underserved segment.
What critics are saying
- October 2025 Qilin ransomware breach of 160GB data triggers HIPAA fines and client exodus.
- CVS Caremark and Express Scripts control 80% market share, crushing rebate negotiation leverage.
- PBM transparency laws eliminate retained rebate revenue, compressing independent operator margins permanently.
What makes MedImpact unique
- Largest independent PBM with 20M+ members and $40B annual pharmacy transactions.
- Vertically integrated portfolio spanning PBM, captive insurance, TPA, and specialty management.
- GLP-1 Benefit 360 combines capped pricing, lifestyle coaching, and dietitian access uniquely.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Wellness Program
Unlimited Paid Time Off
Paid Vacation
401(k) Company Match
Life Insurance
Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
Company News
MedImpact, the largest independent pharmacy benefits company in the US, has launched two solutions to manage rising GLP-1 medication costs whilst improving patient access: GLP-1 Benefit 360 and GLP-1 Direct Fund. GLP-1 Benefit 360 offers capped pricing for plans and members, integrated lifestyle support through the MedEmpower Fuel mobile app, and access to registered dietitians. The solution addresses the issue that over half of patients discontinue GLP-1 therapy within three months by providing personalised coaching at no additional cost. The GLP-1 Direct Fund allows healthcare payers to contribute set amounts toward direct-to-consumer pricing, offering members lower out-of-pocket costs whilst protecting plans from unpredictable cost increases. Both solutions bypass traditional high-cost pharmacy models to provide predictable pricing and clinical support.
SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals
MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS. Acquisition of the two brands focused on medical stop-loss captive solutions by MedImpact Holdings extends its portfolio of care and coverage solutions MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions have both been acquired by MedImpact Holdings Inc. Both businesses were previously owned by Strategic Risk Solutions. MedImpact is one of the US' largest independent health solutions and pharmacy benefit companies. MHW Benefit Partners helps small and mid-sized businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programmes. MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programmes. Announcing the deals, MedImpact stated they expand its portfolio of care and coverage solutions, "providing employers with modular, cost-effective alternatives to traditional insurance carriers." "By integrating specialised risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations," the company said. The two companies join MG Insurance as MedImpact's main risk management and underwriting brands, providing captive programmes and stop-loss protections. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes," said Zach Johnson, MedImpact executive vice president. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control."
Image: MedImpact_MHW Benefit Partners_MSL Captive Solutions_SRS Benefit Partners MedImpact acquires MSL Captive Solutions and MHW Benefit Partners. MedImpact Holdings, Inc., an independent health solutions and pharmacy benefit company, has acquired two risk management firms, MHW Benefit Partners and MSL Captive Solutions. The acquisitions expand MedImpact's portfolio of care and coverage solutions, providing small and mid-sized businesses with alternative financing and specialised risk management typically reserved for large, self-insured corporations. MHW Benefit Partners, formerly known as SRS Benefit Partners, assists businesses in the formation and evolution of captives, consortiums and other employee benefit programmes. MSL Captive Solutions specialises in medical stop-loss insurance, protecting self-insured employers from catastrophic healthcare claims. The firm partners with A-rated insurance companies to underwrite individual employer stop-loss and captive programmes. Commenting on the acquisitions, Zach Johnson, executive vice president at MedImpact, says: "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes. We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control." With the addition of these firms, MedImpact now offers a full suite of risk management and underwriting solutions, including captive programmes and stop-loss protections provided by MHW Benefit Partners, MSL Captive Solutions and MG Insurance. These services are integrated alongside third-party administration through Verdegard, transparent networks via PNOA and drug savings programmes through Ray Savings Solutions and Birdi. Based in San Diego, MedImpact has operated for more than 35 years, delivering tools and services designed to make healthcare more affordable and predictable for employers.
MedImpact expands portfolio of health solutions with acquisition of two employer insurance and Risk Management companies. SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals SAN DIEGO-(BUSINESS WIRE)-MedImpact Holdings, Inc., the nation's largest independent health solutions and pharmacy benefit company, today announced the acquisition of two innovative risk management firms: MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions. MedImpact expands portfolio of health solutions with acquisition of two employer insurance and risk management companies share. These acquisitions expand MedImpact's portfolio of care and coverage solutions, providing employers with modular, cost-effective alternatives to traditional insurance carriers. By integrating specialized risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations. * MHW Benefit Partners helps businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programs. These programs offer small and mid-sized businesses greater control over costs and transparency into plan administration than they have today. * MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programs. With these acquisitions, MedImpact now offers employers a full suite of care, coverage, and risk management solutions that include: * Third-Party Administration (TPA): Integrated self-funded and level-funded programs through Verdegard. * Transparent Networks: Nationwide, direct-contracted provider access through PNOA. * Drug Savings & Clinical Programs: Advanced, high-touch clinical programs and specialty drug management through MedImpact, Ray Savings Solutions, and Birdi. * Risk Management & Underwriting: Captive programs and stop-loss protections provided by MHW Benefit Partners, MSL Captive Solutions, and MG Insurance. * Member Care & Fulfillment: High-touch home delivery via Birdi and member advocacy through Verdegard's Advanta program. Employers may choose these solutions individually or in custom bundles designed to meet their needs. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programs," said Zach Johnson, MedImpact Executive Vice President. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control." About MedImpact MedImpact is the nation's largest independent health solutions and pharmacy benefit company. For more than 35 years, MedImpact has delivered innovative tools and services that make healthcare more predictable, personal, and affordable. To learn more, visit us online, follow us on LinkedIn, or contact us at [email protected].