Supervisor, Underwriting - Actuarial
Posted on: June 12, 2021
At Paramount, we offer insurance to both large and small groups
and also cater to Medicare (Paramount Elite) subscribers in
northwest Ohio and southeast Michigan. Our Medicaid product
(Paramount Advantage) services those living in the state of Ohio.
We maintain an accreditation by the NCQA - the National Committee
for Quality Assurance - for our Ohio HMO, Elite and Advantage
products. We're also part of ProMedica, which is ranked the second
most integrated health system in the U.S. and No. 1 in the Midwest.
For more information about Paramount, please visit our website
Primary position responsible for oversight and the enforcement
of underwriting practices and policies. Evaluation of risk for both
prospective and renewal rate proposals consistent with corporate
revenue goals and standards. Responsible for conducting research,
using risk assessments, and financial modeling to make high level
decisions which support the strategic and marketing goals and
objectives of the health plan.
Evaluate risk and rate calculations of large prospective and
renewal rate proposals and make strategic recommendations to
leadership. Assist, support, and guide other team members on UW
techniques, market trends, and appropriate rating methodology.
Enforce and ensure all compliance and quality control standards
are being met by underwriting team.
Organize and lead rating and reporting discussions with brokers,
consultants, and clients, as needed.
Provide analytical support to Actuarial team in evaluation of
rating factors, rate filings, benefit design, and product
Assist Finance Department in the development of the commercial
product line revenue budget.
Create, modify, test, and maintain rating spreadsheets/software.
Interpret updated rate filings and ensure that they are
incorporated into production.
Discuss strategies for new sales growth and retention of current
business with Sr. Leadership as well as bring forth suggestions on
benefit and policy changes to increase member satisfaction and
Prepare executive level dashboards that demonstrate progress
towards department metrics and develop ad hoc reporting to address
specific concerns as needed.
Plan, organize, staff, direct and oversee the day-to-day
operations of the team; develop and implement policies and programs
Perform management responsibilities to include, but are not
limited to: involved in hiring and termination decisions, coaching
and development, rewards and recognition, performance management
and staff productivity.
Recommend and implement changes to current processes, tools, and
software to improve internal and external customer service as well
- Perform other duties as directed.
- Education: Bachelor's degree in business or healthcare
administration, math, actuarial science or insurance required.
- Management experience required.
- Excellent communication and organizational skills
- Experience using Microsoft Office programs, especially Excel,
Word, Access, and Power Point required.
- Ability to plan, coordinate, and organize multiple priorities
with minimal supervision.
- Must be adaptable to change, display qualities of initiative
and be able to work independently.
- Proven strong leadership, analytical and problem solving
- Must have ability to generate quality work product under tight
deadlines in a dynamic, fast-paced environment.
- Demonstrate creativity and be able to develop innovative
solutions to business challenges.
- Leads by example to cultivate a climate of motivation, positive
energy and meaning in work.
- Years of Experience: Minimum of 5 years of experience in
finance related to health care.
ProMedica is a mission-based, not-for-profit integrated
healthcare organizational headquartered in Toledo, Ohio. For more
information, please visit www.promedica.org/about-promedica
Qualified applicants will receive consideration for employment
without regard to race, color, national origin, ancestry, religion,
sex/gender (including pregnancy), sexual orientation, gender
identity or gender expression, age, physical or mental disability,
military or protected veteran status, citizenship, familial or
marital status, genetics, or any other legally protected category.
In compliance with the Americans with Disabilities Act Amendment
Act (ADAAA), if you have a disability and would like to request an
accommodation in order to apply for a job with ProMedica, please
Equal Opportunity Employer/Drug-Free Workplace
Employee Exemption Type
Budgeted Hours / Pay Period
Additional Schedule Details
Has potential to work remote.
Keywords: ProMedica, Toledo , Supervisor, Underwriting - Actuarial, Other , Toledo, Ohio
Didn't find what you're looking for? Search again!