Underwriting Consultant - Walnut Creek, United States - Kaiser Permanente

Description

: Job Summary:

Anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.
Essential Responsibilities:

• Partner with Sales and Account Management to create and execute a business plan that optimizes our opportunities across book of business.
• Produce accurate quotes in compliance with Underwriting & authority guidelines and state & federal laws for existing and prospective business.
• Develop and execute account and/or book of business plans to ensure attainment of goals primarily on complex cases.
• Lead peer review including the most complex cases to ensure accuracy & appropriateness of quote.
• Manage business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc.
• Meets established department turn around goals by balancing deadlines.
• Designs new and interpret existing policies, procedures, and methodology.
• Develop and leads in the implementation of continuous quality improvement programs.
• Partner with & influenceother internal customers to ensure KP business processes are in alignment with organizational goals.
• Ensure Underwriting is an integral partner in the creation of effective business solutions/
• Establish and leverage relationships with Sales/Account Management that optimizes business potential with purchasers, brokers & consultants.
• Develop creative solutions that maximize credibility with customers & Sales/Account Management and external customers.
• Proactively acquire & exhibit knowledge of the external business environment to add value.
• Provide leadership to the team.
• Create and maintain positive, empowering work environment.
• Act as a role model.
• Coach and develop team members.

Minimum Qualifications:

• Minimum three (3) years experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.
• Bachelors degree required in business administration, health care administration, mathematics, statistics, or related degree OR four (4) years of experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.

Additional Requirements:

• Proficiency in computer and analytic skills.
• Experience creating client presentations using Microsoft Office programs and use of client databases.
• Experience using effective verbal and written communication skills.
• Demonstrated customer service skills with the ability to articulate and respond to highly complex issues.
• Experience in interpersonal, presentation, and persuasion skills.
• Experienced in meeting individual business objectives.
• Proficiency and understanding of underwriting processes, healthcare products, and contracts.
• Previous experience with employee group benefits.

Primary Location: California,Walnut Creek,501 Lennon Lane
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Po/Ho Corp - Pricing-Rates
Pay Range: $ $144870 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 10 % of the Time At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest