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A $23 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates 92,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.4 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $800 million in federal, state, and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.
UPMC Health Plan is hiring a Staff Underwriter for its Underwriting team. This is a remote position but will be required to work EST standard business hours. Preference will be given to those located in the Eastern, Central or Mountain time zones.
This position will assess the risk of current and potential groups insured by the Health Plan. Risk assessment includes determining both the financial and non-financial impact to the Health Plan. In order to assess risk, this role will utilize the risk assessment processes and models developed by the Manager of Underwriting and Actuarial Services, while adhering to the established Underwriting Guidelines. The Staff Underwriter must stay abreast of regulatory changes and their impact on the underwriting process. Communication of underwriting and rating issues to other members of the Health Plan is also required. This role will handle smaller, less complex cases.
Responsibilities:
Utilize the established system of rating models to appropriately rate groups insured by the Health Plan.
Utilize pricing models to assess the financial impact of various benefit plan changes/modifications and Health Plan initiatives.
Interact with the various functional areas of the Health Plan and serve as a resource for pricing and risk analysis expertise.
Appropriately utilize the established underwriting guidelines to assess the potential risk/insurability of current and prospective groups.
Monitor regulatory changes and implement these changes in the risk assessment and rating process.
B.S. degree with a major in Mathematics, Finance, Business Administration, or a related area is required.
Strong preference for advanced Excel skills (VLOOKUP's, Pivot Tables)
Strong preference for degree in Math, Finance or Actuarial Science
Competency in mathematics/statistics.
Computer skills.
Attention to detail, excellent organizational skills, interpersonal skills, strong communication skills, ability to work in teams, and ability to deal with ambiguity essential.
Licensure, Certifications, and Clearances:
Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Annual
Required profile
Experience
Level of experience:Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.