Underwriting Consultant

Kaiser Permanente Oakland , CA 94604

Posted 2 weeks ago

Description:

Anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.

Essential Functions:

  • Partner with Sales and Account Management and other key internal stakeholders to create and execute a business plan that optimizes our opportunities across book of business.

  • Produce accurate quotes in compliance with Underwriting and authority guidelines and state and federal laws for existing and prospective business.

  • Develop and execute account and/or book of business plans to ensure attainment of goals primarily on complex cases.

  • Lead peer review including the most complex cases to ensure accuracy and appropriateness of quote.

  • Manage business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc.

  • Meets established department turn around goals by balancing deadlines.

  • Designs new and interpret existing policies, procedures, and methodology.

  • Develop and leads in the implementation of continuous quality improvement programs.

  • Partner with&influenceother internal customers to ensure KP business processes are in alignment with organizational goals.

  • Ensure Underwriting is an integral partner in the creation of effective business solutions.

  • Establish and leverage relationships with Sales/Account Management that optimizes business potential with purchasers, brokers and consultants.

  • Develop creative solutions that maximize credibility with customers and Sales/Account Management and external customers.

  • Proactively acquire and exhibit knowledge of the external business environment to add value.

  • Provide leadership to the team.

  • Create and maintain positive, empowering work environment.

  • Act as a role model.

  • Coach and develop team members.

Basic Qualifications:

Experience

  • Five (5) years of experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.

Education

  • Bachelor's degree in business administration, health care administration, mathematics, statistics, OR four (4) years of experience rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.

License, Certification, Registration

  • N/A.

Additional Requirements:

  • Experience creating client presentations using Microsoft Office programs and use of client databases.

  • Experience using effective verbal and written communication skills.

  • Experience in interpersonal, presentation, and persuasion skills.

  • Experienced in meeting individual business objectives.

  • Previous experience with employee group benefits.

  • Proficiency in computer and analytic skills.

  • Proficiency and understanding of underwriting processes, healthcare products, and contracts.

  • Demonstrated customer service skills with the ability to articulate and respond to highly complex issues.

Preferred Qualifications:

  • Seven (7) years of quantitative analysis experience.

  • Experience in Large Group Underwriting.

Primary Location: California,Oakland,1800 Harrison 1800 Harrison Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Insurance / Claims Department: Pricing and Underwriting Travel: Yes, 20 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

Click here for additional requirements >


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