Manager, Large Group Underwriting

North Suburban Family Physicians

73d

About The Position

HealthPartners is hiring a Manager of Large Group Underwriting. This leader directs the determination of rates, approval and renewal process for all group products. Establishes requirements for group composition, contribution, and eligibility provisions. The Manager of Large Group Underwriting works in the development of new group products and market strategies to attract and retain business that ensures the financial success of HealthPartners.
ACCOUNTABILITIES:
Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
Establishes and maintains written HMO Standard, choice, self-funded medical and dental group underwriting rules, including “field underwriting” rules and procedures for initial consideration of new groups and renewal of inforce groups.
Manages the process whereby groups are initially considered as purchasers of our products.
Establishes and implements rules for assessing group composition, contribution levels, eligibility and other underwriting criteria for renewal of all group products to protect the company’s financial interests and to ensure the profitability of these product lines.
Provides specific guidance to the Marketing, Sales and retention staff regarding the necessary rating and underwriting information which they must supply to determine rating and coverage strategies and methodologies for existing groups and potential new business.
Implements simultaneous offerings of multiple GHI products to maximize membership growth and minimize loss of profitability in existing groups. Directs the systems which control the release of (and contingencies for) group quotes.
Directs work objectives with other departments (I.S., Finance and others) to provide up-to-date information on the current and projected profitability of each product line.
Provides technical field support to the Sales and retention staff in the acquisition and retention of all group business. Presents to large external customers on Group Health’s rating methodologies and underwriting philosophies. (Benefit Managers, consulting firms, brokerages, and other key business leaders).
Consults with Marketing and Sales Management Team in developing specific sales strategies for prospective and renewal group business.
Develops and proposes alternate funding and rating methodologies, strategies and tactics which are consistent with senior management objectives for the purpose of enhancing the marketability and profitability of GHI products.
Estimates the value and impact of proposed and legally required eligibility and administrative changes in all group coverage. Provides guidance and assistance in their implementation.
Actively participates in the creation, update and ongoing testing of business continuity and disaster recovery planning and preparation.
At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.
Join us in our mission to improve the health and well-being of our patients, members, and communities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Requirements

• A Bachelor’s Degree in a related field.
• Ten or more years previous experience in underwriting group health coverage with direct responsibility for financial results and strategic planning.
• Excellent oral and written communications ability.
• Relevant math skills and computer experience.
• Minimum of two years experience managing appropriate work group.

Nice To Haves

• A Master’s Degree or a professional benefits or insurance certification HMO or PPO experience.

Responsibilities

• Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees.
• Ensures compliance to organizational and departmental policies and procedures.
• Establishes and maintains written HMO Standard, choice, self-funded medical and dental group underwriting rules, including “field underwriting” rules and procedures for initial consideration of new groups and renewal of inforce groups.
• Manages the process whereby groups are initially considered as purchasers of our products.
• Establishes and implements rules for assessing group composition, contribution levels, eligibility and other underwriting criteria for renewal of all group products to protect the company’s financial interests and to ensure the profitability of these product lines.
• Provides specific guidance to the Marketing, Sales and retention staff regarding the necessary rating and underwriting information which they must supply to determine rating and coverage strategies and methodologies for existing groups and potential new business.
• Implements simultaneous offerings of multiple GHI products to maximize membership growth and minimize loss of profitability in existing groups.
• Directs the systems which control the release of (and contingencies for) group quotes.
• Directs work objectives with other departments (I.S., Finance and others) to provide up-to-date information on the current and projected profitability of each product line.
• Provides technical field support to the Sales and retention staff in the acquisition and retention of all group business.
• Presents to large external customers on Group Health’s rating methodologies and underwriting philosophies. (Benefit Managers, consulting firms, brokerages, and other key business leaders).
• Consults with Marketing and Sales Management Team in developing specific sales strategies for prospective and renewal group business.
• Develops and proposes alternate funding and rating methodologies, strategies and tactics which are consistent with senior management objectives for the purpose of enhancing the marketability and profitability of GHI products.
• Estimates the value and impact of proposed and legally required eligibility and administrative changes in all group coverage.
• Provides guidance and assistance in their implementation.
• Actively participates in the creation, update and ongoing testing of business continuity and disaster recovery planning and preparation.

Benefits

• Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees