Underwriting Consultant (Meritain Health)

CVS Health is seeking an Underwriting Consultant (Meritain Health) in Concord, Merrimack County, USA. This full‑time role offers a fixed salary of $98,486.42 and focuses on evaluating health insurance applications while delivering exceptional member service.

Key Responsibilities

• Review and assess health insurance applications for accuracy, completeness, and compliance with underwriting guidelines.
• Analyze medical records, claim histories, and risk factors to determine appropriate coverage and pricing.
• Collaborate with sales, claims, and medical teams to resolve complex underwriting issues.
• Maintain detailed documentation in internal systems and ensure data integrity.
• Provide clear communication to applicants and internal stakeholders regarding underwriting decisions.
• Stay current with industry regulations, Medicare/Medicaid policies, and CVS Health underwriting standards.

Qualifications & Requirements

• Bachelor’s degree in health administration, finance, or related field (or equivalent experience).
• 2+ years of experience in health insurance underwriting, risk assessment, or related analytical roles.
• Strong analytical skills with the ability to interpret medical and financial data.
• Excellent written and verbal communication skills.
• Proficiency with underwriting software and Microsoft Office Suite.
• Detail‑oriented, organized, and able to manage multiple cases simultaneously.

What CVS Health Offers

• Competitive salary of $98,486.42 annually.
• Comprehensive health, dental, and vision benefits.
• Retirement savings plans with company match.
• Opportunities for professional development and career growth.
• Inclusive, collaborative work environment focused on improving community health.

Frequently Asked Questions

What does an Underwriting Consultant at CVS Health do?

They evaluate health insurance applications, analyze medical and financial data, ensure compliance with underwriting guidelines, and communicate decisions to members and internal teams.

What are the required qualifications?

A bachelor’s degree or equivalent experience, at least 2 years in health insurance underwriting or risk analysis, strong analytical and communication skills, and proficiency with underwriting tools.

What is the salary for this position?

The role offers a fixed annual salary of $98,486.42.