Health Underwriting Manager jobs in the United States
Health Underwriting Manager manages the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Ensures integrity of underwriting activities and processes. Being a Health Underwriting Manager participates in the development of master policies and other official documents. Verifies that the account contracts are in compliance with government regulations. Additionally, Health Underwriting Manager typically is a RN with clinical experience. Requires a bachelor's degree. Typically reports to a director. The Health Underwriting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Health Underwriting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Health Underwriting Manager jobs
Underwriting Manager, Pharmacy
- Health Care Service Corp.
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Richardson, TX
FULL_TIME
- At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary We are seeking a consummate leader and decision maker to guide our high performing underwriting team for our pharmacy (PBM) line of business. This team is responsible for underwriting accounts in compliance with HCSC’s goals and objectives and federal and state legislation, resulting in the sale and renewal of group business. Job Responsibilities: Manages an underwriting team that underwrites accounts in compliance with HCSC’s goals and objectives, resulting in the sale and retention of group accounts. Plays a key role in developing, negotiating, and settling the financial aspects of performance guarantees (if applicable) and oversees separate pricing and arrangements for each of the network areas provided by participating BCBS Plans. Manages proposal and renewal volumes and adjust workloads to meet changing priorities and seasonal work. Identifies and assigns participants for committees, projects, and work groups. Acts as a consultant for financial meetings with external customers, brokers and consultants. Formulates strategies and presents renewals, proposals, and other financial strategies to select prospective and current accounts and their consulting houses. Delivers formal presentations (internal and external) and is able to communicate the content effectively. Directs, leads, and participates in special projects, workgroups, task forces, and committees. Serves as a technical resource for the Underwriting Division. *Monitors changes in market and underwriting environment and develops and implements changes to policy. Collaborates with marketing to analyze and obtain knowledge of the market environment and adjusting strategies to improve marketplace presence. Represent HCSC as a consultant/subject matter expert for financial meetings with external clients. Formulate strategies and present renewals, proposals, and other financial strategies to designated prospect and current accounts, consultants, and brokers. Participates directly with Marketing, Legal, and senior management in the design, negotiation, and implementation of accounts: specific performance guarantees, provider discount arrangements, and special financial arrangements. Identifies and anticipates customer needs, which includes designing and implementing systems, processes and services to meet or exceed customer expectations. Applies Audit Controls when completing settlements, ratings, etc. Develops, recommends and implements process improvements and solutions to process problems. Develops business cases (including ROI) and prepares plans for training, testing, implementation, and tracking. Responsible for staff adherence to established controls and identifying additional control needs. Review, approve, and implement responses to Divisional audit findings. Implement changes assigned by higher management. Provides effective coaching and mentoring to their team. Develops employees through coaching, feedback, one-on-one mentorship and training. Address team-specific issues with an eye towards impact to other teams and functions. Facilitates training and development for Marketing staff. Promotes and fosters development and improvement. Proactively provides input for UW policies and procedures, training needs, and other UW protocol Manages change initiatives that impact the staff and/or other stakeholders. Establishes and maintains positive relationships with Marketing, Actuarial, IL, Legal and other internal partners to achieve effective communication and collaboration. Provides cross team/cross functional support for Underwriting. Serves as a backup to the Sr. Director/Executive Director when needed Manages resource needs and expenses to approved budget. Responsible for establishing and collaborating with their assigned team in establishing goals, monitoring results, and creating and holding people accountable. Assists in system design and manages process changes and improvements. Identify problems, assess success of system implementations, and recommends system changes and process improvements. Manages and oversees the daily activities of the underwriting staff. Provides hiring/selection, performance management, goals and action plans, communication, motivation. Provides development to, and serves as a technical resource for the entire Underwriting Department. Provide orientation and underwriting education to internal Sales and Marketing staff. Promotes and fosters staff development and improvement. Ensuring internal/external tools for predicting risk are appropriately utilized/applied. Support Underwriting holistically, providing guidance, oversight and production support as needed across teams. Coordinate efforts and ideas across teams to ensure consistency and effectiveness. Provide ongoing support/guidance to areas performing services on-behalf of Underwriting Serves as SME: Funding arrangements, pricing approaches, reporting, data collection and understanding, process and workflow, specialty issues Maintain tracking spreadsheets and ad hoc tools to support Underwriting needs Required Job Qualifications: Bachelors’ Degree and five (5) years’ experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers OR six (6) years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers. Three (3) years of underwriting of higher complexity cases, if responsibility includes one or more of the following segments: large/major/national/and or special accounts OR Demonstrated capability to meet required job responsibilities. Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions. Operational knowledge of renewal and prospective group health underwriting processes and procedures. Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding. Extensive experience applying consortium procedure and pricing (if applicable). Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions. Work management skills in prioritizing and assigning work and project assignments. Demonstrated highly effective presentation skills for addressing customers and senior management. Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff. Project management skills and experience, including designing and leading projects. Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience. Interact with BCBSA and member plans. Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships. Independent judgment and problem resolution skills. Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines. PC proficiency to include Word and Excel. Successfully demonstrated skills and experience in presenting to external clients. Process management and process improvement experience and skills to identify and implement process changes. Preferred Job Qualifications: Knowledge of the Blue System and ability to price pharmacy business. Knowledge of PBM, Pharmacy underwriting. We offer a flexible work arrangement to include 3 days in the office and 2 days from home. **** Relocation Assistance may be provided **** We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.
- 1 Month Ago
Underwriting Insurance Inspections - Eugene, OR
- Underwriting Solutions
-
Eugene, OR
FULL_TIME
- Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
- 26 Days Ago
Underwriting Insurance Inspections
- Underwriting Solutions
-
Fort Wayne, IN
FULL_TIME
- Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
- 1 Month Ago
Underwriting Insurance Inspections
- Underwriting Solutions
-
Washington, MO
FULL_TIME
- Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
- 1 Month Ago
Underwriting Insurance Inspections - Birmingham, AL
- Underwriting Solutions
-
Birmingham, AL
FULL_TIME
- Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
- 19 Days Ago
Underwriting Insurance Inspections - Provo, UT
- Underwriting Solutions
-
Provo, UT
FULL_TIME
- Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
- 13 Days Ago
Health Underwriting Manager jobs at Popular Companies
Loan Processor
- Nfm Lending
-
Columbus, OH
- Job description This candidate will be responsible for the entire end-to-end mortgage loan process. They will gather and...
- 4/26/2024 12:00:00 AM
Executive Contract Surety Underwriting Specialist | Remote
- King's Insurance Staffing
-
Columbus, OH
- Our client, an A-rated National P&C Insurance Leader, is continuing to expand their Contract Surety Bond Division and se...
- 4/25/2024 12:00:00 AM
Appraisal Underwriter
- M/i Homes Inc.
-
Columbus, OH
- M/I Homes has been building new homes of outstanding quality and superior design for more than 40 years. Founded in 1976...
- 4/25/2024 12:00:00 AM
Insurance Inspector - Personal and Commercial Lines
- Information Providers Inc.
-
Columbus, OH
- Job Description Job Description Come work with us! Information Providers, Inc is a field service company that conducts u...
- 4/25/2024 12:00:00 AM
Loan Processor
- NFM Lending
-
Worthington, OH
- Job description This candidate will be responsible for the entire end-to-end mortgage loan process. They will gather and...
- 4/23/2024 12:00:00 AM
Executive Contract Surety Underwriting Specialist | Remote
- King's Insurance Staffing
-
Columbus, OH
- Our client, an A-rated National P&C Insurance Leader, is continuing to expand their Contract Surety Bond Division and se...
- 4/23/2024 12:00:00 AM
Associate Underwriter II (Hybrid or Remote)
- Mid-Continent Group
-
Columbus, OH
- Essential Job Functions and Responsibilities: Underwrite, price, and negotiate accounts consistent with the quality of t...
- 4/23/2024 12:00:00 AM
Regional Manager, Underwriting & Business Development
- Accident Fund Holdings Inc.
-
Westerville, OH
- Job DescriptionSUMMARY:Responsible for managing the Business Development function. Set annual unit business goals, monit...
- 4/22/2024 12:00:00 AM
Income Estimation for Health Underwriting Manager jobs
$122,726 to $159,234