Underwriter Lead, Geisinger Health Plan (Pennsylvania resident)

Location:

Work from home (Pennsylvania)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

Yes

Job Summary:

Provides leadership over different levels of Underwriters in lower level rating decisions and rating model updates. Provides and oversees analytics involving, but not limited to, new business sold, projected Medical Examination Report and the underwriting database. 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.

Job Duties:

• Meets with staff on a regular basis to evaluate performance via direct observation and mentoring.
• Provides feedback, identifies issues, and facilitates problem resolution.
• Provides support for Management and leadership for the Underwriters relative to financial forecasting, profitability and expense analysis, and assigned special projects.
• Provides technical, analytical and business guidance to other team members.
• Participates in leadership decisions regarding future vision and strategy.
• Analyzes claims experience, demographics (age and gender), industry, enrollment, benefit plan options, geographic region, network access and competitor data.
• Predicates underwriting guidelines and strategies applicable to each group.
• Presents key accounts to discuss premium rating strategies, product offerings, provider network access and market position specific to the account.
• Completes Request for Proposals from consultants and detailed explanations of rate adjustments for renewing and potential clients, premium rating methodology utilized and configuration of benefits to sales, client, broker, or consultant.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details:

Education:

Associate's Degree- (Required)

Experience:

Minimum of 8 years-Related work experience (Required)

Certification(s) and License(s):

Skills:

Insurance Finance And Actuarial Concepts, Insurance Legal And Regulatory Environment

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family. 

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.  We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.