Supervisor, Underwriting - Actuarial
Company: ProMedica
Location: Toledo
Posted on: June 12, 2021
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Job Description:
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
http://www.paramounthealthcare.com. Position Summary 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. Accountabilities 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
development. 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
improve profitability. 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
as necessary. 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
as profitability. Job Requirements Preferred Qualifications 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
contact employment@promedica.org Equal Opportunity Employer/Drug-Free Workplace Employee Exemption Type Exempt Job Type Full Time Budgeted Hours / Pay Period 80 Shift Type Days Shift Hours Weekends On-call Requirements Additional Schedule Details Has potential to work remote.
Keywords: ProMedica, Toledo , Supervisor, Underwriting - Actuarial, Other , Toledo, Ohio
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