Senior Manager, Underwriting

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:

As a Senior Manager, Underwriting, you will lead a team responsible for Medicare underwriting activities across the Public and Labor, National Accounts, and Middle Market segments. In this highly visible leadership role, you will drive profitable growth, support key business objectives, and ensure the delivery of accurate, competitive, and customer-focused underwriting solutions.

You will be responsible for achieving financial and operational performance goals, including margin and membership targets, while providing strategic direction, coaching, and development to a team of underwriting professionals. This role offers the opportunity to partner closely with Sales, Account Management, and cross-functional business partners to influence growth strategy and deliver value to our customers and clients.

Key Responsibilities

• Lead, coach, and develop a team of underwriting professionals to achieve business, operational, and financial objectives.
• Manage workload distribution, production priorities, and team performance to ensure timely and accurate delivery of underwriting results.
• Identify staffing, training, and development opportunities to build a high-performing underwriting organization.
• Drive continuous process improvement initiatives focused on productivity, rating accuracy, operational efficiency, and customer experience.
• Foster a culture of exceptional customer service and mentor team members in developing strong consultative partnership skills.
• Apply and communicate underwriting policies, product knowledge, business strategies, and organizational initiatives to support informed decision-making.
• Approve underwriting exceptions and financial variances within delegated authority limits.
• Partner with Sales and Account Management teams to support customer and broker meetings when needed.
• Collaborate across CVS Health and Aetna business segments to achieve enterprise and market-specific goals.
• Leverage market and competitive intelligence to evaluate risk, develop pricing strategies, and maximize profitability.
• Communicate and negotiate rate development methodologies and underwriting decisions with internal and external stakeholders.
• Influence case strategy and business outcomes while ensuring service level expectations and deliverables are met.
• Build and maintain strong cross-functional relationships that drive growth, operational excellence, and customer satisfaction.
• Provide leadership, guidance, and mentorship to both direct and indirect team members to maximize engagement and performance.

Required Qualifications

• 5+ years of medical underwriting experience, including experience within Medicare or group health insurance products.
• Demonstrated experience leading, coaching, mentoring, or developing underwriting professionals.
• Strong knowledge of underwriting principles, risk assessment, pricing methodologies, and funding arrangements.
• Advanced proficiency in Microsoft Excel and other analytical tools.
• Excellent communication, negotiation, and relationship-building skills.
• Proven ability to manage competing priorities and drive results in a fast-paced environment.

Preferred Qualifications

• Experience supporting Public and Labor, National Accounts, and/or Middle Market business segments.
• Knowledge of Aetna underwriting systems, products, rating methodologies, and underwriting processes.
• Experience leading operational improvement initiatives and driving measurable business outcomes.
• Ability to influence cross-functional partners and contribute to strategic business initiatives.

Education

Bachelor's degree or equivalent combination of education and relevant professional experience.

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

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. This position also includes an award target in the company’s equity award program.

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: 11/30/2026

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

About us