Jobs · Finance

Senior Director, Underwriting/Pricing - Remote, Certified Actuary (FSA/ASA)

Magellan Health · United States · 1 wk ago
Finance$127k/yrFull-time

Responsibilities

  • Deliver profitable growth of the business line through retention of existing relationships, new customer acquisition, and product innovation.
  • Lead a staff that manages the entire underwriting process for prospective clients and new customer acquisitions.
  • Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities.
  • Interact with clients as needed to resolve differences in projections, rate-setting methodology, and administrative cost projections.
  • Incorporate administrative cost projections and business unit profit objectives to develop final rates quoted to customers.
  • Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability.
  • Complete quarterly savings reporting to current clients and provide estimated savings for prospect clients.
  • Reviews utilization, cost trends, and other assumptions that are used in pricing models.
  • Evaluate cost impact of new product initiatives and propose rate structures to maximize profitability and ensure appropriate returns for risk.
  • Ensure that appropriate underwriting policies and procedures are applied to new and existing business and that responses are timely.
  • Provide recommendations on product and customer rates to senior management and coordinate the approval process.
  • Supports variety of projects from Business Unit and Corporate Finance.
  • Manage team of pricing and reporting analysts.
  • Interact with clients and customers and internal staff to resolve issues related to information provided and Request For Proposal language and response expectations.
  • Supports variety of projects from Business Unit and Corporate Finance.
  • Manage team of pricing and reporting analysts.
  • Interact with clients and customers and internal staff to resolve issues related to information provided and Request For Proposal language and response expectations.

Requirements

  • 12+ years of experience in underwriting with a minimum of 5 years of experience in underwriting management.
  • Experience in leading a team of people.
  • Thorough knowledge of the health care and health insurance industries.
  • Ability to develop and document creative approaches to underwriting new products.
  • Experience in analysis of medical and related administrative cost data.
  • Strong knowledge of underwriting principles in a managed care environment.
  • Excellent written and communication skills.
  • Ability to self-start and work independently.
  • Good analytical, reasoning, and problem-solving skills.
  • Strong organizational skills and must be able to adhere to strict deadlines.
  • Willingness to learn new product lines and adapt to changing environment.
  • Strong working knowledge Microsoft Office Product suite, specifically Excel.
  • Experience with managing large data sets with tools such as MS Access.

Qualifications

  • Bachelor's Education - Preferred
  • Master's Education - Preferred

Skills

  • Knowledge of the health care and health insurance industries.
  • Ability to develop and document creative approaches to underwriting new products.
  • Experience in analysis of medical and related administrative cost data.
  • Strong knowledge of underwriting principles in a managed care environment.
  • Excellent written and communication skills.
  • Ability to self-start and work independently.
  • Good analytical, reasoning, and problem-solving skills.
  • Strong organizational skills and must be able to adhere to strict deadlines.
  • Willingness to learn new product lines and adapt to changing environment.
  • Strong working knowledge Microsoft Office Product suite, specifically Excel.
  • Experience with managing large data sets with tools such as MS Access.

Benefits

  • Comprehensive benefits package.
  • Tobacco-free workplace.

Pay

  • Salary Range: $127,295 - $229,105

Schedule

  • Remote

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