Underwriter Senior, Geisinger Health Plan (Eastern United States resident) jobs in United States
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Geisinger · 20 hours ago

Underwriter Senior, Geisinger Health Plan (Eastern United States resident)

Geisinger is a healthcare organization seeking a highly skilled and detail-oriented Senior Underwriter. In this role, you will evaluate risk, deploy pricing strategies, and ensure sustainable growth across self-funded product lines, contributing to financial and marketing objectives.

Health CareHospitalMedical

Responsibilities

Calculates premium rate proposals and develops product portfolios for new client groups and renewal business
Contributes to the achievement of the financial and marketing objectives for the thorough assessment of group risk, the expected cost to deliver services, the expected marketability and competitiveness of health care services that will result in profitable enrollment
Uses actuarial data in standard application of various rating methodologies and formulas and identifies potential areas for application of underwriting judgment
Confers with management to identify and develop methods and procedures to obtain greater efficiency
Provides support to Management relative to financial forecasting, profitability and expense analysis, and assigned special projects
Analyze the risk of a group and calculate premium rates for new and renewal clients adhering to regulatory requirements, underwriting guidelines and pricing strategies to achieve target financial results
Analyze claims experience, demographics, benefit plans, group attributes and competitor data. Applies underwriting judgment as appropriate
Complete Request for Proposals providing explanations of rate action, configuration of benefits and market position to sales, client, broker, or consultant. Organizes proposal questionnaire responses to consulting firms
Presents key accounts to all levels of management providing an explanation of premium rating strategies, product offerings and market position specific to the account
Conducts conference calls with the clients and sales to interpret the renewal and new business proposal rating, negotiating premium reductions as part of these calls
Assists with designing and implementing rating models. Recommends measures to improve efficiency and ensure accuracy
Acts as a department resource for co-workers, sales, and inter-departmental projects
Assists in preparing various management reports to analyze the financial risk for the health plan. Utilizes a high level of experience in Excel and reporting programs for special analysis

Qualification

ASO expertiseStop Loss evaluationPharmacy risk pricingExcel proficiencyFinancial forecastingAnalytical skillsCommunication skillsTeam collaboration

Required

Associate's Degree- (Required)
Minimum of 7 years-Related work experience (Required)

Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Company

Geisinger

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Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.

Funding

Current Stage
Late Stage
Total Funding
$0.95M
Key Investors
U.S. Department of Agriculture
2024-04-02Acquired
2024-01-10Grant· $0.95M

Leadership Team

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Terry Gilliland
President & CEO
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Anne Morse
Director, Division of Pediatric Sleep Medicine
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Company data provided by crunchbase