Health Plan Underwriting Manager

Position Overview

• Location Type: Remote
• Job Type: FullTime
• Salary: $100K - $130K

The Health Plan Underwriting Manager will support the broader sales team by developing and delivering financial (including underwriting, actuarial and stop loss performance) analyses to support the business. This role will work cross-functionally across Growth, Client Success and Network functions to clean, analyze, and synthesize data to share with technical and non-technical audiences. The role requires a deep understanding of health care delivery and health benefit plans as well as advanced data analysis skills and expertise in analytics software. The Underwriter should be able to independently assess risk, structure underwriting strategies, and articulate business implications to both internal stakeholders and external partners.

Requirements

• Education: Bachelor’s degree in a quantitative discipline (math, actuary, statistics, risk/insurance, economics, econometrics, financial analysis)
• Experience:
  • 6+ years’ experience in healthcare or health insurance
  • 4+ years’ experience underwriting fully insured and self-insured cases
  • 4+ years’ experience with stop loss placement, negotiation, pricing or underwriting
• Skills:
  • Sophisticated skills with analytical, spreadsheet and database tools – Excel, Tableau - SQL (a plus)
  • Knowledge of health care, preferably in the context of claims, reimbursement and risks
  • Mastery of Microsoft Office tools – PowerPoint, Word, etc.

Responsibilities

• Design, develop and implement pricing models, inclusive of risk sharing methodology that align to company financials and business results and also align with sales process and support delivery of the sales results
• Design, develop and maintain financial/underwriting models to support sales, RFP responses, renewals and provider/network contracting processes
• Work in collaboration with other teams/departments to drive improvements in stop loss processes, including providing technical analysis on stop loss quotes, renewals, etc.
• Support or lead negotiations of stop loss proposals as needed
• Assist the Growth team, benefit advisors and employers with plan design, contribution modeling, development of premium equivalents and benefit plan accrual rates
• Provide technical analysis on stop loss quotes, renewals, etc.
• Work with Client Success team and Healthcare Analytics team to develop year-end client reviews and renewals

Application Instructions

• (Information not provided in the job description)

Company Information

• We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.