Clinical Medical Review – Oncology

Elevance Health

Medical Underwriter Sr determining risks and rates for oncology cases at Elevance Health. Involves collaboration across multiple departments and requires strong clinical expertise.

Posted 5/27/2026full-timeAtlanta • Minnesota, New Jersey, Texas • 🇺🇸 United StatesJunior💰 $79,200 - $129,600 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

underwritingpremium rate calculationmedical experience analysisrating compliancemedical information evaluationclinical documentation reviewutilization management

Soft Skills

communicationanalytical thinkingproject leadershipcollaboration

Certifications & Qualifications

RN license

Industry Keywords

Oncologymedical underwritingbroker interactionactuarial reporting

About the role

Key responsibilities & impact

Determines acceptability of medically underwritten risks for complex cases
Calculates appropriate group/individual premium rates for new business and renewal
Proposes new business rates for complex cases ensuring rating compliance
Calculates renewal rates for complex cases utilizing a thorough analysis of medical experience
Evaluates medical information to assign appropriate underwriting decision
Monitors rating compliance reporting with actuaries for assigned business
Analyzes and responds to written and verbal underwriting inquiries
Participates in and may lead special underwriting projects
Interacts frequently with brokers, sales, administration and actuarial areas

Requirements

What you’ll need

Requires a BA/BS in a related field
Minimum 3 years of related experience
RN license strongly preferred
5 years of clinical experience in Oncology setting strongly preferred
Clinical documentation / medical chart review experience strongly preferred
Utilization Management experience preferred

Benefits

Comp & perks

Comprehensive benefits package
Paid Time Off
401(k) contribution
Incentive and recognition programs
Stock purchase plan
Medical, dental, and vision benefits
Short and long term disability benefits
Wellness programs
Financial education resources