Case Underwriter - Medical

📋 Description

• • The Case Underwriter - Medical role at Capital Rx, Inc. is responsible for leading the underwriting process for Judi Health and Capital Rx new-business medical TPA and pharmacy RFPs, playing a critical role in shaping underwriting strategy from the ground up.
• • Day-to-day responsibilities include directing and executing pricing and underwriting for new and renewing business opportunities, coordinating with Sales and Proposal Development to submit timely and complete RFP responses, collaborating with the Executive Team to refine financial models and SOPs, supporting client contracting by validating alignment with underwriting parameters, presenting final underwriting to leadership with risk articulation, maintaining underwriting and financial reporting systems, mining external data for best practices, managing multiple projects and deadlines, supporting client financial analytics and reporting needs, assisting in pricing model development for new products, and adhering to the Capital Rx Code of Conduct.
• • The role sits within Judi Health, an enterprise health technology company that provides comprehensive solutions including Capital Rx (a public benefit corporation PBM), Judi Health™ (full-service health benefit management), and Judi® (the industry’s leading Enterprise Health Platform), all working to rebuild trust in U.S. healthcare through scalable, secure infrastructure.
• • The successful candidate will have the opportunity to develop deep expertise in medical and pharmacy underwriting, lead cross-functional initiatives, refine financial modeling and reporting practices, influence pricing strategy at a growing health technology company, and gain experience in a mission-driven organization focused on healthcare innovation and equity.