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Kaiser Permanente Careers

Insurance & Claims

Delivery You Can Count On

As a member of our Claims Connect team, you'll help process and deliver the claims information Kaiser Permanente's members, providers, regulators, and customers need, and expect, from a world-class health care organization.

Pricing & Underwriting Analyst

Location: Honolulu, HI Job Number: 889581 Date posted: 09/30/2020

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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:
  • N/A
  • Education
  • Bachelor's degree required in business administration, health care administration, mathematics, statistics, or related degree OR four (4) years of experience in a directly related field performing analysis work.
  • License, Certification, Registration
  • N/A

  • Additional Requirements:
  • 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.
  • 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.

  • 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.

  • Notes:
    What is the
    critical function of the role and why does it need to be filled?
    To price renewal and prospect for mid large groups.  It needs to be filled to keep up with the
    increased volume.
    What options did you explore to use
    existing resources?
    We already use resource sharing, efficiency and effectiveness measures
    and technology improvements, yet our staffing model still supports the need for
    additional underwriters and we must keep current positions filled when vacated.
    How will this position contribute to
    MSSA Strategy? 
    Help achieve sustainable commercial group growth.

    How will this position deliver an ROI
    vs remaining unfilled?

    Help achieve sustainable commercial group growth

    Primary Location: Hawaii,Honolulu,Regional Admin Tower Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee Job Level: Entry Level Job Category: Insurance / Claims Department: Pricing & 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.

    Learn About Insurance & Claims Careers

    Careers in Insurance & Claims

    Our insurance and claims teams are committed to meeting customer and member expectations when it comes to the timely and accurate processing of claims, while remaining in compliance with federal, state, and local laws, as well as regulations and rules. Make an impact as you contribute to the implementation of contemporary technology in areas such as claims quality, claims operations, business analysis, processing, configuration, reporting, and more.

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