Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
4/12/2019
Job Category:
Information Services
Pricing and Underwriting Analyst
(This job is no longer available)
Kaiser Permanente | Clackamas, OR
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Job Description

Description:

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:

Establish effective business relationships with Sales and Account Management to execute a business plan that optimizes our opportunities across a book of business.

Produce accurate quotes in compliance with Underwriting & authority guidelines and state & federal laws for existing and prospective business.

Participate in the execution of account and/or book of business plans to ensure attainment of goals.

Lead limited peer review to ensure accuracy & appropriateness of quote.

Adhere to 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.

Comply with new and existing policies, procedures, and methodologies.

Comply with continuous quality improvement programs.

Strategize with internal customers on implications of decisions on business outcomes.

Assist in positioning Underwriting as an integral partner in the creation of effective business solutions.

Establish relationships with Sales/Account Management to understand business potential with purchasers, brokers & consultants.

Develop solutions that establish credibility with Sales/Account Management and external customers.

Acquire and exhibit knowledge of the external business environment to add value.

Basic Qualifications:

Experience

N/A

Education

Bachelor's degree required in business administration, health care administration, mathematics, statistics, OR four (4) years of experience in a directly related field performing analysis work.

License, Certification, Registration

N/A

Additional Requirements:

Experience in functions relating to health insurance or providers, such as marketing, membership services or accounting, reporting or rating, large group health underwriting, actuarial or benefit contract functions.

Demonstrated computer literacy including Excel and Word.

Demonstrated written & verbal communication skills.

Proven ability to balance conflicting deadlines and meet established departmental turnaround goals.

Good organizational skills and the ability to work under pressure.

Ability to work cooperatively with others.

Ability to adapt to changing policies and procedures.

Proven ability to accurately calculate algebraic rating formulae.

Proven ability to work with incomplete or imperfect information & develop reasonable assumptions.

Preferred Qualifications:

One (1) year of experience performing analysis work.

Previous experience working with employee group benefits.

Proficiency and understanding of underwriting processes, healthcare products, and contracts.

Primary Location: Oregon,Clackamas,Kaiser Permanente National Accounts NW 10121 SE Su Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 9:00 AM Working Hours End: 5:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Non-Union, Non-Exempt Job Level: Entry Level Job Category: Insurance / Claims Department: National Accounts Underwriting Travel: Yes, 5 % of the Time 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.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

Click here for additional requirements >

About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.