Associate Manager, Underwriting

CVS HealthFranklin, TN
5d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. A Brief Overview Directs workflow for underwriting to support the organization's financial and strategic goals. Establishes underwriting support in risk management to optimize revenue, membership, and earnings. Applies advanced underwriting knowledge to define key performance metrics for routine, new business underwriting functions. What you will do Position will be primarily focused on Medicare Supplement and Ancillary Products Coordinates processes and assignments for supervisors and individual contributors to achieve the Underwriting area's goals. Advises team on policies and procedures to ensure compliance and achievement of the organization's goals and objectives for Underwriting. Ensures the completion timely underwriting deliverables, including casework reviews, inquiries, missing information, contractual underwriting review, benefit plan impact, and rate validation. Analyzes trends to inform the development and implementation of medical underwriting procedures, workflows, guidelines, and claim risk criteria. Develops resources for staffing, talent management, training, and development. Supports & participates in quality control reviews of documents, deliverable, and information produced by the Underwriting team. Advises on improvement initiatives to increase productivity, accuracy, and customer service. Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs. For this role you will need

Requirements

  • 2+ years of underwriting experience (health care underwriting preferred)
  • Prior leadership experience
  • Strong knowledge of underwriting principles, risk management, and compliance requirements
  • Demonstrated ability to analyze trends and translate insights into operational improvements
  • Associates Degree. Bachelor’s Degree preferred or commensurate work experience

Nice To Haves

  • Medicare and/or Medicare Supplement underwriting experience preferred

Responsibilities

  • Coordinates processes and assignments for supervisors and individual contributors to achieve the Underwriting area's goals.
  • Advises team on policies and procedures to ensure compliance and achievement of the organization's goals and objectives for Underwriting.
  • Ensures the completion timely underwriting deliverables, including casework reviews, inquiries, missing information, contractual underwriting review, benefit plan impact, and rate validation.
  • Analyzes trends to inform the development and implementation of medical underwriting procedures, workflows, guidelines, and claim risk criteria.
  • Develops resources for staffing, talent management, training, and development.
  • Supports & participates in quality control reviews of documents, deliverable, and information produced by the Underwriting team.
  • Advises on improvement initiatives to increase productivity, accuracy, and customer service.
  • Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs.

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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