Top 21 Underwriter Jobs in St. Louis Mo

Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)
The Cigna Group —St. Louis, MO
- $88,700 - $147,800 a year
- Online Application
- 5 years
- SQL
- Bachelor's degree
- Paid holidays
- Health insurance
4d
Cigna Pharmacy Risk & Underwriting Lead Analyst (Hybrid)
The Cigna Group —St. Louis, MO
- $76,000 - $126,600 a year
- Online Application
- Mid-level
- 3 years
- SQL
- Paid holidays
- Health insurance
3d
Underwriting Manager - Workers Compensation (Remote)
MEM —St. Louis, MO
- $101,600 - $152,400 a year
- Full-time
- Remote
- Finance
- Driver's License
- Bachelor's degree
- Profit sharing
- Paid jury duty
3d
Middle Market Commercial Underwriter
The Hartford —Creve Coeur, MO
- $76,400 - $144,600 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Business development
Personal Lines Underwriter
Burns & Wilcox —St. Louis, MO
- Full-time
- Mid-level
- Business development
- Bachelor's degree
- Wellness program
- Paid holidays
Underwriter-Business Banking
First Bank —St. Louis, MO
- $53,000 - $65,000 a year
- Writing skills
- Mid-level
- Analysis skills
Quick Apply
Underwriting Technical Manager - Workers' Compensation (Remote)
MEM —St. Louis, MO
- $110,400 - $165,600 a year
- Full-time
- Remote
- 7 years
- Finance
- Bachelor's degree
- Profit sharing
- Paid jury duty
5d
Underwriting Specialist/Executive Underwriter, Inland Marine
Markel Service Inc. —St. Louis, MO
- $116,080 - $159,610 a year
- Email
- 6 years
- Customer service
- Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Underwriter-Business Banking
First Bank-MO —St. Louis, MO
- $53,000 - $65,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Analysis skills
Financial & Underwriting Consultant
Alliant Insurance Services —St. Louis, MO
- Email
- Mid-level
- Office
- Bachelor's degree
- Dental insurance
- Vision insurance
Quick Apply
6d
Commercial Underwriter (Hybrid)
First American Title Insurance Co —Clayton, MO
- $88,900 - $118,500 a year
- Full-time
- Hybrid work
- Customer service
- 5 years
- Organizational skills
- Employee stock purchase plan
- Health insurance
Quick Apply
9d
Senior Credit Underwriter - Custom Lending - Global Wealth & Investment Management
Bank of America —St. Louis, MO
- $117,000 - $175,000 a year
- Full-time
- Office
- Finance
- High school diploma or GED
Commercial Underwriting Counsel (Hybrid)
First American Title Insurance Co —Clayton, MO
- $88,900 - $118,500 a year
- Full-time
- 5 years
- Organizational skills
- Senior level
- Employee stock purchase plan
- Health insurance
Quick Apply
4d
Banking Underwriter (Commercial Credit Analysis & Lending)
First Bank-MO —St. Louis, MO
- $76,000 - $96,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
Banking Underwriter (Commercial Credit Analysis & Lending)
First Bank —St. Louis, MO
- $76,000 - $96,000 a year
- Mid-level
- 3 years
- Finance
Quick Apply
Commercial Underwriting Counsel (Hybrid)
First American Financial Corporation —Clayton, MO
- 5 years
- Organizational skills
- Senior level
- Employee stock purchase plan
- Health insurance
3d
Commercial Underwriter (Hybrid)
First American Financial Corporation —Clayton, MO
- Hybrid work
- Customer service
- 5 years
- Organizational skills
- Employee stock purchase plan
- Health insurance
Managing Director - Principal Financial Network
Principal Financial Group —St. Louis, MO
- $94,000 - $171,000 a year
- Full-time
- Presentation skills
- Bachelor's degree
- Travel
10d
Dealer Services Indirect Underwriter (Auto Lending) - Full Time
1ST MIDAMERICA CREDIT —East Alton, IL
- $20 - $21 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Dealership
Quick Apply

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Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

The Cigna Group -
St. Louis, MO

Apply Now

Job Details

Full-time
$88,700 - $147,800 a year
4 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Underwriting
Pricing analysis experience within healthcare industry

Full Job Description

Role Summary:

Drive profitable growth across a complex pharmacy portfolio by developing data-driven pricing strategies, leading customer negotiations, and partnering closely with Sales to win and retain business. Leveraging advanced analytics, financial modeling, and market intelligence, you will influence pricing decisions, product positioning, underwriting practices, and go-to-market strategies that deliver value for customers and the business.

Key Responsibilities:

Manages an assigned book of pharmacy business with accountability for profitable

growth, persistency, and earnings performance.

Conducts case-specific risk assessments and develops account-level pricing strategies.
Leads rate development and customer negotiations in collaboration with Sales for

complex pharmacy accounts.

Develops, executes, and monitors account plans to drive growth and profitability.
Analyzes market trends and competitive dynamics to deliver strategic

recommendations on pricing and product positioning.

Influences underwriting best practices and provides consultative input to matrix

partners on product development and pricing strategy.

Serves as a subject matter expert (SME) supporting Medical Underwriting teams and

broader stakeholders.

Qualifications:

5+ years of experience in Pharmacy Underwriting or related fields
Experience working with large datasets and applying data-driven insights to business decisions.
Proven ability to make sound decisions with a strong understanding of internal and

external financial implications

Experience using SQL, reporting tools, or other analytical platforms to support pricing and underwriting decisions.
Bachelor’s degree or equivalent relevant work experience required
In-depth knowledge of market dynamics, competitive conditions, and pricing drivers

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 88,700 - 147,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

underwriter jobs in st. louis mo

Cigna Pharmacy Risk and Underwriting Advisor (Hybrid)

Cigna Pharmacy Risk & Underwriting Lead Analyst (Hybrid)

Underwriting Manager - Workers Compensation (Remote)

Middle Market Commercial Underwriter

Personal Lines Underwriter

Underwriter-Business Banking

Underwriting Technical Manager - Workers' Compensation (Remote)

Underwriting Specialist/Executive Underwriter, Inland Marine

Underwriter-Business Banking

Financial & Underwriting Consultant

Commercial Underwriter (Hybrid)

Senior Credit Underwriter - Custom Lending - Global Wealth & Investment Management

Commercial Underwriting Counsel (Hybrid)

Banking Underwriter (Commercial Credit Analysis & Lending)

Banking Underwriter (Commercial Credit Analysis & Lending)

Commercial Underwriting Counsel (Hybrid)

Commercial Underwriter (Hybrid)

Managing Director - Principal Financial Network

Dealer Services Indirect Underwriter (Auto Lending) - Full Time

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