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Wellvana · 20 hours ago

Sr. Manager, Underwriting

Nashville, TN

Full-time

Onsite

Senior Level

6+ years exp

Wellvana is a healthcare company focused on delivering life-changing healthcare through value-based care programs. The Senior Manager, Underwriting will lead the underwriting strategy and execution, optimizing performance within CMS/CMMI ACO models while ensuring collaboration across various teams.

Health CareIT InfrastructureMedical

Responsibilities

Lead the underwriting function strategy across current and prospective clients in CMS ACO models to optimize performance for Wellvana and our partners

Coordinate and lead regular cross-function forums between actuarial and underwriting team members and key stakeholders within Wellvana including, but not limited to, Growth, Partner Success, and Strategy teams with the goal of understanding data and modeling needs to meet Wellvana objectives

Coordinate and lead development of enterprise tools needed based on stakeholder requirements, including alignment with Finance and Analytics systems and critical processes

Collaborate with Actuarial leadership to establish assumption governance for all models and tools

Manage and test assumptions for tools and models across current and prospective clients

Manage workflow and participate in supporting innovative ad-hoc underwriting requests

Lead and complete validation study design and complete studies on underwriting modeling and tool projections

Innovate underwriting methodologies, processes, and insights using AI/ML techniques to produce improvements in projections

Develop material and lead education sessions on underwriting process and projections for key stakeholders

Identify key barriers and recommend investments to improve overall underwriting process

Qualification

Underwriting strategyCMS/CMMI ACO modelingAnalytical skillsModel buildingRisk assessmentCommunication skillsEducationTrainingLeadershipInterpersonal skillsDecision-makingCollaboration

Required

Integrity: The right way is the only way

Dependability: You do what you say you're going to do

Advocacy: You fight for the best possible outcome for providers and their patients

Clarity: You make it all understandable

Bachelor's degree in Finance, Business Administration, Risk Management or a related field is common, with an MBA or advanced degree preferred

Credentialed as either Associate or Fellow of Society of Actuaries a plus

6-8 years of underwriting experience with a minimum of 3 years with direct CMS/CMMI ACO underwriting and modeling experience

Strong analytical and decision-making skills, leveraging data and judgment to assess risk effectively

Strong model building skills to incorporate enhancements in models to support end to end process

Demonstrated ability to understand regulatory guidance for current and emerging models and implement into work product

Excellent communication and interpersonal skills, with the ability to influence partners across various departments and at the executive level

Demonstrated ability to make decisions independently that improves productivity, while keeping the business impact in mind

Demonstrated ability to execute on deliverables with urgency while managing additional responsibilities

Excellent interpersonal skills with the ability to build rapport and relationships with individuals at all levels across the organization, as well as outside parties