Director of Underwriting

Viva Health•Birmingham, AL

12h•Hybrid

About The Position

The Director of Underwriting is responsible for the maintenance and development of all aspects of underwriting and actuarial analysis including product pricing, product development, group risk assessment, data analysis and reporting, regulatory reports and filing, and reinsurance reporting. This position is also responsible for management of the Underwriting Department staff. VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Requirements

Bachelor’s degree in a business-related field
7 years’ underwriting/actuarial experience
3 years’ management experience
Advanced computer skills including Excel, pivot tables, and Access
Proficiency in Microsoft Office
Excellent verbal and written communication skills
Ability to work in cooperation and conjunction with many other departments within the Company
Ability to manage staff
Aptitude and interest in medical and financial risk analysis and assessment
Knowledge of medical terminology
Ability to solve problems as they arise
Ability to work under pressure from deadlines and goals

Nice To Haves

Group or individual insurance underwriting experience
Medicare Advantage bid process experience
Operational experience interfacing with Federal and/or State web-based applications

Responsibilities

Responsible for pricing and approval/decline of employee groups presented for quoting by Sales staff for Large and Small Group product lines.
Produce and refine monthly reports on underwriting activity for Senior Management and develop additional reporting projects, as necessary.
Develop and maintain pricing/rating models for Large and Small group product lines.
Prepare and submit underwriting regulatory filings.
Analyze and report healthcare costs for internal and external customer utilization.
Provide underwriting data and support to product development staff for pricing and improvement of new products.
Analyze, report, and accumulate reinsurance reimbursements.
Assist Senior Management with all aspects of the Company's reinsurance contract.
Aid in the development and ongoing modification of benefits and plan designs to be coordinated with Sales & Marketing, Pharmacy, and other departments.
Oversee various aspects relating to Underwriting including but not limited to ensuring compliance with Federal Health Care Reform laws.
Manage the Underwriting Department staff.