Director - Underwriting

at  Health Care Service Corporation

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for directing the application of Underwriting Policy and Corporate Pricing Strategies. This Director will ensure compliance with Plan Financial and marketing goals and objectives, and adherence to sound and accepted underwriting practices, including strategic oversight of a dedicated functional group. Additionally, this leader will direct underwriting teams in compliance with HCSC’s goals and objectives, resulting in the sale and retention of group accounts; manage and monitor customer financial reporting and utilization reporting, for adherence to corporate reporting policy regarding HCSC liabilities. This leader will act as a consultant and provides support for financial meetings with external customers, brokers, and consultants, as well as formulates strategies and presents renewals, proposals, and other financial strategies to select prospective and current accounts and their consulting houses.

REQUIRED JOB QUALIFICATIONS:

• Bachelor’s AND 8 years of experience in group health underwriting in various aspects of group health insurance, OR 12 years group health underwriting experience in various aspects of group health insurance.
• 2 years of underwriting of higher complexity cases OR demonstrated capability to meet required job responsibility.
• Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions.
• 5 years of effective management experience, with demonstrated people management skills.
• Operational knowledge of renewal and prospective group health underwriting processes and procedures.
• Extensive knowledge of underwriting methodologies including mathematical and financial group health underwriting funding.
• Extensive experience applying consortium procedure and pricing (if applicable).
• Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions.
• Work management skills in prioritizing and assigning work and project assignments.
• Demonstrated highly effective presentation skills for addressing customers and senior management.
• Demonstrated skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff.
• Project management skills and experience, including designing and leading projects.
• Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience.
• Interact with BCBSA and member plans.
• Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships.
• Independent judgment and problem resolution skills.
• Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines.
• PC proficiency to include Word and Excel.
• Successfully demonstrated skills and experience in presenting to external clients.
• Process management and process improvement experience and skills to identify and implement process changes.
• Represent HCSC as a consultant/subject matter expert for financial meetings with external clients. Formulate strategies and present renewals, proposals, and other financial strategies to designated prospect and current accounts, consultants, and brokers.
• Take an active role in or a functional lead in corporate or departmental projects.
• Actively participate and support the principles of the Quality Assurance Program.
• Manages and monitors customer financial reporting and utilization reporting and for adherence to corporate reporting policy regarding HCSC liabilities.
• Math and technical underwriting skills, including computer skills and the ability to build complex forecasting models.
• HMO background with experience in financial arrangements.
• Change Management skills and experience.
• People Management and leadership skills including employee selection, motivation, communication, development, succession planning, performance management, pay administration, and process management.
• Ability to manage employees that reside in multiple states and to support all underwriting functions from a remote facility.

PREFERRED JOB QUALIFICATIONS:

• Knowledge of the Blue System and ability to price National business.
• Rotation to other Underwriting market segments.