CareFirst BlueCross BlueShield · 2 weeks ago
Underwriting Manager - Pharmacy (Remote)
United States
Full-time
Remote
Senior Level
$115K/yr - $213K/yr
5+ years expCareFirst BlueCross BlueShield is a health insurance company seeking an Underwriting Manager for their Pharmacy division. The role involves managing underwriting services, overseeing pharmacy-related functions, and ensuring compliance with regulations while leading a team of employees.
Health CareNon ProfitService Industry
No H1B
Responsibilities
Manages insurance underwriting employee outcomes by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures
Achieves insurance underwriting operational objectives by contributing information and analysis to strategic plans and reviews; preparing and completing action plans; implementing production, productivity, quality, customer-service, safety, security, and health standards; identifying and resolving problems; completing audits; identifying, developing, and implementing system improvements
Meets insurance underwriting financial objectives by estimating requirements; preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions
Completes insurance underwriting by evaluating exceptions and appeals; reviewing reinsurance arrangements; enforcing adherence to internal and external underwriting policies, procedures, guidelines, and regulations; auditing risk acceptability, new applications, declined files, and large limits; evaluating loss history, financial statements, and loss control surveys
Ensures legal compliance by auditing and enforcing guidelines, account contracts, and company business plan; verifying implementation of State-mandated regulations and required forms and rates; approving documents for State filings, and marketing materials. Protects organization value by keeping information confidential; cautioning others regarding potential breaches
Resolves insurance problem escalations by evaluating file documentation; evaluating options; enforcing guidelines. Improves insurance product profitability by analyzing product results
Improves insurance underwriting job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies. Contributes to insurance underwriting and organization success by welcoming related, different, and new requests; helping others accomplish job results
Qualification
Required
Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
5 years progressive underwriting experience group health, medical, ancillary and/or pharmacy
1 year supervisory experience or demonstrated progressive leadership experience
Knowledge of insurance underwriting methods and procedures
Excellent communication skills both written and verbal
Skill in monitoring/assessing the performance of self, other individuals, or organizations to make improvements or take corrective action
Ability to maintain effective interpersonal relationships
Knowledge of compensation insurance; rules, classifications, statutes, and rates
Ability to apply underwriting methods to create comprehensive reports
Must be eligible to work in the U.S. without Sponsorship
Benefits
Comprehensive benefits package
Various incentive programs/plans
401k contribution programs/plans
Company
CareFirst BlueCross BlueShield
CareFirst. It’s not just our name. It’s our promise.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Ja'Ron Bridges
Interim President and Chief Executive Officer
Doba Parushev
Vice President, Healthworx Ventures
Recent News
2025-10-02
BCBSM, Inc., dba Blue Cross and Blue Shield of Minnesota
2025-09-09
2025-08-07
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