Job Summary Responsible for underwriting new and renewal medical stop loss business which includes ... Contracting & Network Development Share your talent with us! Our vision is simple: to transform ...
Job Summary Responsible for underwriting new and renewal medical stop loss business which includes ... Contracting & Network Development Share your talent with us! Our vision is simple: to transform ...
Project Consultant
Topeka, KS · On-site
$60K - $160K/yr
Represent Aspen Contracting professionally while upholding company values. Qualifications * Valid ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
Project Consultant
Topeka, KS · On-site
$60K - $160K/yr
Represent Aspen Contracting professionally while upholding company values. Qualifications * Valid ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
Project Consultant
Wichita, KS · On-site
Represent Aspen Contracting professionally while upholding company values. Required * Valid driver ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
Project Consultant
Wichita, KS · On-site
Represent Aspen Contracting professionally while upholding company values. Required * Valid driver ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
Project Consultant
Topeka, KS · On-site
$60K - $160K/yr
Represent Aspen Contracting professionally while upholding company values. Qualifications * Valid ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
Quick apply
Project Consultant
Topeka, KS · On-site
$60K - $160K/yr
Represent Aspen Contracting professionally while upholding company values. Qualifications * Valid ... Medical, dental, and disability insurance eligibility. * 401(k) eligibility. * Ongoing mentorship ...
PRN Medical Assistant
Olathe, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Olathe, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Overland Park, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Lenexa, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Lenexa, KS · On-site
$21 - $25/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Lenexa, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Lenexa, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Mission, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
PRN Medical Assistant
Mission, KS · On-site
$21 - $26/hr
The Medical Assistant is a key component of our care team and works closely with a primary care ... Work with the contracted labs for additional tests * Prepares and administers approved medications ...
RN - Medical/Surgical - MS
Pratt, KS · On-site
$2.0K/wk
Travel Rn Medical/Surgical Weekly Pay $2,092 Shift Details Shift 12 x 3 Days Shift Job Order ... AS A FEDERAL CONTRACTOR OR SUBCONTRACTOR, KRUCIAL RAPID RESPONSE SHALL ABIDE BY THE REQUIREMENTS OF ...
New
RN - Medical/Surgical - MS
Pratt, KS · On-site
$2.0K/wk
Travel Rn Medical/Surgical Weekly Pay $2,092 Shift Details Shift 12 x 3 Days Shift Job Order ... AS A FEDERAL CONTRACTOR OR SUBCONTRACTOR, KRUCIAL RAPID RESPONSE SHALL ABIDE BY THE REQUIREMENTS OF ...
New
Chief Medical Officer
$262K - $404K/yr
May provide input and support medical vendor strategies including vendor selection, negotiation and contracting. * Medical Direction and Oversight: * Participate in the design and development of ...
Chief Medical Officer
$262K - $404K/yr
May provide input and support medical vendor strategies including vendor selection, negotiation and contracting. * Medical Direction and Oversight: * Participate in the design and development of ...
DeAngelo Contracting Services (DCS) is seeking a motivated and skilled CDL Hi-Rail Technician with ... Competitive medical, dental, vision, and prescription plans * 401(k) with company match * Generous ...
Quick apply
DeAngelo Contracting Services (DCS) is seeking a motivated and skilled CDL Hi-Rail Technician with ... Competitive medical, dental, vision, and prescription plans * 401(k) with company match * Generous ...
CDL Hi-Rail Railroad Technician
Kansas City, KS · On-site
$24/hr
DeAngelo Contracting Services (DCS) is seeking a motivated and skilled CDL Hi-Rail Technician with ... Competitive medical, dental, vision, and prescription plans * 401(k) with company match * Generous ...
CDL Hi-Rail Railroad Technician
Kansas City, KS · On-site
$24/hr
DeAngelo Contracting Services (DCS) is seeking a motivated and skilled CDL Hi-Rail Technician with ... Competitive medical, dental, vision, and prescription plans * 401(k) with company match * Generous ...
Travel Med Surg RN
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Start Date: 08/30/2026 * Duration: 13 weeks * 36 hours per ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
Travel Med Surg RN
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Start Date: 08/30/2026 * Duration: 13 weeks * 36 hours per ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
RN - Medical Surgical/Telemetry - MS Tele
Pratt, KS · On-site
$2.2K/wk
Travel Rn Medical Surgical/Telemetry - Ms Tele Weekly Pay $2,218 Shift Details: 12 X 3 Night 6p-6a ... AS A FEDERAL CONTRACTOR OR SUBCONTRACTOR, KRUCIAL RAPID RESPONSE SHALL ABIDE BY THE REQUIREMENTS OF ...
New
RN - Medical Surgical/Telemetry - MS Tele
Pratt, KS · On-site
$2.2K/wk
Travel Rn Medical Surgical/Telemetry - Ms Tele Weekly Pay $2,218 Shift Details: 12 X 3 Night 6p-6a ... AS A FEDERAL CONTRACTOR OR SUBCONTRACTOR, KRUCIAL RAPID RESPONSE SHALL ABIDE BY THE REQUIREMENTS OF ...
New
Travel Medical/Surgical RN
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Start Date: 08/30/2026 * Duration: 13 weeks * 36 hours per ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
Travel Medical/Surgical RN
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Start Date: 08/30/2026 * Duration: 13 weeks * 36 hours per ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
Travel RN Med Surg
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 48 hours per week * Shift: 12 hours ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
Travel RN Med Surg
Wichita, KS · On-site
$1.9K - $2.6K/wk
Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 48 hours per week * Shift: 12 hours ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...
Medical Contracting information
What is the difference between Medical Contracting vs Medical Billing Specialist?
| Aspect | Medical Contracting | Medical Billing Specialist |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or similar | Certifications like CPC, CCS, or similar |
| Work Environment | Healthcare facilities, clinics, or remote | Healthcare facilities, billing companies, or remote |
| Industry Usage | Used for managing healthcare contracts and negotiations | Focused on processing insurance claims and billing |
Medical Contracting involves managing healthcare agreements, negotiations, and compliance, often requiring similar certifications as Medical Billing Specialists. In contrast, Medical Billing Specialists focus on submitting claims, coding, and ensuring payment from insurers. While both roles operate within the healthcare revenue cycle, Medical Contracting emphasizes contract management, whereas Medical Billing Specialists handle billing and claims processing.

Underwriter, Contracting & Network Development (Full-time, Day)
Independence, KS • On-site
Full-time
Posted 26 days ago
Prisma Health rating
7.1
Based on 349 frontline employees who took The Breakroom Quiz
377th of 887 rated healthcare providers
Job description
Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for underwriting new and renewal medical stop loss business which includes reviewing, evaluating, selecting, and rating each risk to maximize premium revenue while meeting enterprise profit margins and production goals. Responsible for any other applicable products that require and allow underwriting of risk.Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference.
Responsible for the development, implementation, and maintenance of underwriting programs, policies, procedures, and guidelines to ensure compliance and profitability.
Reviews Group health insurance applications and medical records to evaluate risk. Uses underwriting software, A.I. tools and actuarial manuals to calculate rates, premiums, and factors. Performs detailed pricing analysis and contribute to pricing strategies to optimize profitability.
Reviews stoploss offers and makes recommendations to the sales team on which stoploss offer to use when building Promise Health Plan proposals, based on pricing and contract terms
Creates and updates financial models for forecasting and budgeting. Conducts analyses to identify key metrics for modeling financial data (revenue, cost, expenses, KPIs). Compiles data on yearly loss ratios and medical trends for program evaluation.
Communicates with stop-loss partners regarding risk levels and forecasted claims costs on new and renewing business.
Consults with payer staff to obtain information, review insurance laws, and explain underwriting policies.
Collaborates with internal teams to understand monthly trends and ensure comprehensive risk evaluation.
Develops and maintains strong relationships with brokers, agents, and reinsurers.
Prepares detailed reports and documentation to support health plan decisions.
Maintains accurate records of underwriting decisions and related data.
Ensures compliance with legal standards and stays current on industry regulations and legislative changes.
Conducts regular audits of underwriting files to ensure quality and compliance.
Informs enterprise payer strategy, including forecasting and approach for insurance products.
Serves on work groups or process improvement teams to enhance quality and customer satisfaction.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - Bachelor's degree in Business, Finance, or related field
Experience - 7-10 years of related experience in Medical underwriting and risk assessment
In Lieu Of
N/A
Required Certifications, Registrations, Licenses
Active medical/health underwriting certification
Knowledge, Skills and Abilities
Knowledge of insurance principles, policies, and regulations
Attention to detail
Effective communication and negotiating skills, both written and verbal
Ability to work collaboratively in a team environment
Proficient in using underwriting software and tools
Knowledge of underwriting self-funded and converting fully insured prospects into self-funded products
Basic computer skills including word processing, spreadsheets, database and data entry
Knowledge of office equipment (fax/copier)
Mathematical skills
Work Shift
Day (United States of America)Location
Prisma Health Corporate OfficeFacility
7002 Value-Based Care and Network ServicesDepartment
70029344 Contracting & Network DevelopmentShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
What Prisma Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017