5+ years of underwriting experience, particularly with small groups or level-funded products., Strong understanding of health insurance pricing and risk assessment., Excellent communication skills to convey underwriting decisions to non-technical stakeholders., Proficiency in data analysis tools such as Excel, SQL, and Looker..
Key responsibilities:
Co-lead underwriting operations for new business in the small group segment.
Evaluate employer group risk and determine pricing for level-funded plans.
Collaborate with Sales to create competitive proposals while maintaining profitability.
Monitor underwriting outcomes and market dynamics to inform pricing and risk strategies.
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Sana is on a mission to make healthcare understandable, accessible, and affordable for all. The first step: better health plans for small businesses.
We help small businesses offer high-quality benefits, save on healthcare costs, and avoid expensive employee turnover. Our members get comprehensive medical, dental, and vision coverage, plus access to over a dozen $0 healthcare options — such as virtual pediatrics, mental health, and maternity care.
By bringing healthcare innovation downmarket to the generally neglected small business sector, Sana is laying the groundwork for a healthcare revolution.
Sana is hiring in Operations, Product, Engineering, Sales and more - APPLY TODAY!
http://bit.ly/joinsana
All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.
What’s beautiful about a vision oriented toward “easy” is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can’t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!
We’re looking for a Senior Underwriter to co-lead new business underwriting for our small group level-funded product. This role is critical to balancing profitable growth with competitive, compelling offers to prospects. You’ll be at the intersection of underwriting strategy and sales execution—collaborating closely with our sales, actuarial, and product teams to evaluate risk, price appropriately, and push the boundaries of what’s possible in small group underwriting.
What you will do:
Work closely wth our Senior Underwriter to co-lead underwriting operations for new business in the small group (typically 2-100 lives) segment
Evaluate employer group risk and determine appropriate pricing for level-funded plans
Collaborate with Sales to craft competitive proposals and win business without compromising profitability
Analyze risk factors and make informed, data-driven decisions—balancing risk tolerance with growth goals
Help design and refine underwriting guidelines, processes, and tools as we scale
Partner cross-functionally with Product, Actuarial, and Customer Success to continuously improve the end-to-end experience
Monitor underwriting outcomes and market dynamics to inform ongoing pricing and risk strategies
About you:
5+ years of underwriting experience, ideally with a focus on small groups and/or level-funded products
Strong understanding of health insurance pricing, risk assessment, and underwriting guidelines
Comfortable taking calculated risks to support business goals, especially in a fast-evolving startup environment
Excellent communicator with the ability to explain underwriting decisions to non-technical stakeholders
Highly collaborative and proactive—able to build strong working relationships across Sales, Actuarial, and beyond
Thrives in ambiguity and brings a continuous improvement mindset to their work
Experience working at an insurtech, carrier, or TPA focused on the small group market
Familiarity with underwriting automation tools or systems
Strong data analysis skills (Excel, SQL, Looker, etc.)
Benefits:
Professional development stipend
Flexible vacation
Medical, Dental, and vision insurance
401(k) and HSA plans
Parental leave
Remote worker stipend
Opportunity for career growth
Dynamic start-up environment
Required profile
Experience
Industry :
Insurtech: Insurance + Technology
Spoken language(s):
English
Check out the description to know which languages are mandatory.