Blue Cross and Blue Shield of Minnesota is hiring a Senior Financial Underwriter in Eagan, MN. The Senior Financial Underwriter is responsible for reviewing, preparing, and analyzing risk for renewals, proposals, financial agreements, settlements, and benefit changes. This role involves negotiating final pricing and product configurations with Sales and Account Management and providing clear documentation and rationale to support decisions. 

You’ll work across both fully insured and self-insured segments, with a strong emphasis on pharmacy pricing, carve-in/carve-out strategies, and stop-loss evaluations. The position requires strategic thinking, data-driven decision-making, and the ability to consult across the organization on complex underwriting scenarios. 

The ideal candidate is a proven healthcare underwriter with at least five years of experience in both fully insured and self-insured environments. They bring expertise in pharmacy pricing, stop-loss strategies, and analyzing complex data to build competitive proposals. Comfortable with high-volume cases and carrier reports, they can quickly step in and contribute. We're looking for a self-starter with a growth mindset—someone who thrives in a dynamic environment and thinks strategically across all underwriting components 

Your Responsibilities 

• Analyzes and evaluates existing and new business complex risk for all funding types. 

• Completes financial analysis for settlements and agreements for self insured groups. 

• Provides communication to internal and external customers expressing complex concepts in understandable terms. 

• Develops and maintains documentation on underwriting processes and systems. 

• Assists Underwriting Consultants and Management as requested. 

• Leads or participates in special projects assigned by management. 

• Keeps abreast of current underwriting practices, rating tools, industry practices and healthcare reform legislation. 

• Provides training, work direction, and technical support to other underwriters, advocating transparency in underwriting practices. 

This position is posted at a hierarchy and can be hired at either the Financial Underwriter, Grade C level or Senior Financial Underwriter, Grade E level. The identified candidate will be hired at a level commensurate with their skills.​

Senior Financial Underwriter

Required Skills and Experiences

• 5+ years of related (Financial Underwriting) professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered. 

• Comprehensive knowledge of health insurance industry, competitive environment, underwriting guidelines, principles of risk selection, funding types and contractual agreements. 

• Strong proficiency in Excel, Word, Adobe and Access. 

• Advanced analytic and interpretive skills with well developed problem solving ability. 

• Proven ability to work independently and in a team environment. 

• Strong relationship building skills. 

• Exceptional verbal and written communication skills, with presentation experience. 

• Demonstrated negotiating and collaborating ability. 

• High school diploma (or equivalency) and legal authorization to work in the U.S. 

Preferred Skills and Experiences 

• Bachelor's degree 

• Proven experience with self-insured Underwriting is strongly preferred 

• Familiar with pharmaceutical guarantees and pricing 

• Healthcare experience 

Financial Underwriter

Required Skills and Experience

• 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• Working knowledge of underwriting guidelines and risk selection.

• Strong proficiency in Excel, Word, Adobe and Access.

• Advanced analytical and interpretive skills, with well developed problem solving ability.

• Proven ability to work independently and in a team environment, ability to represent department on cross functional work groups.

• Excellent verbal and written communication skills.

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Bachelor's degree.

• Experience with healthcare underwriting preferred.

  Healthcare experience