Underwriter

• 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

• 3+ 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, etc.)

• Remote company with a fully distributed team – no return-to-office mandates

• Flexible vacation policy (and a culture of using it)

• Medical, dental, and vision insurance with 100% company-paid employee coverage

• 401(k) with company match, FSA, and HSA plans

• Paid parental leave

• Short and long-term disability, as well as life insurance

• Competitive stock options are offered to all employees

• Transparent compensation & formal career development programs

• Paid one-month sabbatical after 5 years

• Stipends for setting up your home office and an ongoing learning budget

• Direct positive impact on members’ lives – wait until you see the positive feedback members share every day

About Sana

Founded in 2017, Sana is a health plan solution built for small and midsize businesses — designed around our integrated primary care service, Sana Care. It’s the foundation of everything we build: ensuring members can easily access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence.

We’ve been remote-first since day one, with a fully distributed team across the U.S. We value curiosity, ownership, and speed — and we build in the open, together. If you’re energized by solving complex, meaningful problems and want to help reshape how healthcare works from the inside out, we’d love to meet you.