Senior Manager, Underwriting Unit Lead

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 Unit Lead, you will provide leadership and strategic direction for a team supporting Medicare underwriting activities across the Public and Labor, National Accounts, and Middle Market segments. In this role, you will drive operational excellence, support profitable growth, and ensure the delivery of high-quality underwriting services that contribute to business success.

You will be responsible for leading a high-performing underwriting team, achieving key financial and operational objectives, and supporting case management activities that enable accurate, timely, and competitive underwriting outcomes. This position offers the opportunity to collaborate with business partners across the organization, influence underwriting strategy, and help shape the future of our underwriting operations.

Key Responsibilities

• Lead and support an underwriting team responsible for delivering high-quality underwriting services aligned with business objectives and performance metrics.
• Manage team production, prioritize workloads, and ensure the effective execution of underwriting activities in a dynamic environment.
• Assess staffing and training needs and develop talent to build a strong and engaged organization.
• Drive continuous improvement initiatives focused on productivity, process efficiency, rating accuracy, and customer experience.
• Foster a culture of exceptional customer service and support team members in developing strong consultative and relationship-management skills.
• Interpret and communicate company products, underwriting guidelines, strategic initiatives, and business priorities to enable informed decision-making.
• Review and approve underwriting exceptions and financial variances within delegated authority.
• Partner with Sales, Account Management, and other internal stakeholders to support customer and broker interactions as needed.
• Collaborate across business segments and functional areas to achieve growth, retention, and profitability goals.
• Utilize market and competitive insights to evaluate risk, support pricing strategies, and drive sound underwriting decisions.
• Communicate and negotiate rate development methodologies and underwriting decisions with internal and external business partners.
• Contribute to case strategy and business planning while ensuring service expectations and deliverables are achieved.
• Provide coaching, mentoring, and performance guidance to both direct and indirect team members.
• Build strong cross-functional partnerships that support business growth, operational excellence, and customer satisfaction.

#AetnaUW

Required Qualifications

• 5+ years of medical underwriting experience, preferably within Medicare and/or group health insurance products.
• Experience supporting underwriting functions, case management activities, and pricing analyses.
• Demonstrated experience coaching, mentoring, or developing underwriting professionals.
• Strong knowledge of underwriting principles, risk evaluation, pricing methodologies, and funding arrangements.
• Advanced proficiency in Microsoft Excel and related analytical tools.
• Excellent communication, collaboration, and relationship-building skills.
• Ability to manage multiple priorities and drive results in a fast-paced environment.

Preferred Qualifications

• Experience within Public and Labor, National Accounts, and/or Middle Market segments.
• Knowledge of Aetna underwriting systems, products, rating methodologies, and operational processes.
• Experience leading process improvement initiatives and driving measurable operational outcomes.
• Proven ability to collaborate effectively across Sales, Account Management, and other cross-functional business teams.

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