Senior Underwriting Consultant

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Senior Underwriting Consultant plays a critical role in managing advanced financial analysis and underwriting for large group commercial customers, supporting both Fully Insured and SelfInsured business, with SelfInsured products representing a key component of the role. In this position, you will apply advanced underwriting risk assessment and pricing expertise to develop sound pricing decisions, evaluate complex risks, and project future costs for both new business and renewal accounts.

This role partners closely with Medica Sales to provide clear pricing rationale and to help craft renewal and sales strategies that balance customer objectives with Medica's longterm financial goals. The Senior Underwriting Consultant is expected to exercise independent judgment, influence outcomes, and serve as a trusted underwriting resource in a competitive market.

Key Responsibilities

• Serve as the lead underwriter for assigned large group commercial opportunities across Fully Insured and Self Insured products, with a primary focus on Self Insured arrangements, including new business and renewals.
• Perform advanced financial analysis and risk assessment using group census data, historical claims, and experience reporting to project future claim costs.
• Serve as underwriting lead on large and complex RFPs, including Medical RFPs with pharmacy (Rx) components; pharmacy RFP experience preferred.
• Develop, evaluate, and recommend pricing strategies and funding approaches for complex plan designs and nonstandard arrangements.
• Collaborate with Sales and Account Management to support negotiations, finalist presentations, and renewal strategy development.
• Clearly communicate underwriting rationale, risks, and recommendations to internal stakeholders and, as appropriate, to brokers and employer groups.
• Apply strong business judgment to make sound, independent decisions and escalate risks or issues appropriately.
• Act as a subject matter expert for large group and selfinsured underwriting, providing guidance to peers and contributing to best practices.
• Maintain awareness of competitive market trends, industry developments, and regulatory considerations impacting large group underwriting.

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 7+ years of professional experience in underwriting or a related field.
• Significant underwriting experience within the healthcare insurance industry.
• Demonstrated experience underwriting large group commercial business, including SelfInsured products.
• Advanced experience using group claims and experience reporting to assess risk and forecast future claim costs.
• Strong analytical skills with the ability to translate complex data into clear, actionable insights.
• Excellent written and verbal communication skills.

Preferred Qualifications

• Experience underwriting both Fully Insured and SelfInsured large group business, with deep expertise in SelfInsured products.
• Experience leading or supporting largescale Medical and Pharmacy RFPs.
• Advanced knowledge of selfinsured funding arrangements, stoploss concepts, and complex plan designs.
• Recognized as a trusted underwriting resource or subject matter expert.
• Rx RFP experience is preferred
• Extensive experience working with claims and experience reporting for projecting future risk
• Ability to make decisions and review complex policy arrangements

Skills and Abilities

• Strong relationshipbuilding, communication, and organizational skills.
• Proven ability to work crossfunctionally and influence outcomes without direct authority.
• Demonstrated ability to evaluate complex scenarios and make wellreasoned recommendations.
• Pricing and RFP experience in a competitive commercial market.

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.