Supervisor, Rating

HMSA•Honolulu, HI

1d•Hybrid

About The Position

1. Provide guidance to team members; ensure assigned Group Underwriters are able to deliver the rate renewal/RFP information necessary to support the Account Planning process. Ensure all rating staff is adequately trained in the statistical reporting structure, financial accountability in the book of business concept, data mart use, and all other tools/concepts necessary to complete rate proposals. 2. Oversee the work of the unit and maintain responsibility for his/her own book of business. Work to ensure HMSA maintains positive relationships with its most important clients by performing accurate rating analyses for the organization's largest politically sensitive accounts and/or accounts with the most complex financial arrangements. Partner with Strategic Account Managers to acquire/retain accounts pivotal to the organization by attending customer meetings as a subject matter expert, communicating complex underwriting concepts to external decision makers in simple and understandable language. 3. Monitor effectiveness of workflow and make changes as necessary. Supervise work of the unit staff to prepare rate filings for submission to the Insurance Division. Track and report on status of filings. Ensure the appropriate and timely response to verbal and written inquiries from the Insurance Division. 4. Responsible for implementing legal, structural or system changes in the rating unit, which can be driven by legal requirements such as Affordable Care Act regulations or system upgrades such as front end system replacements. Develop and deliver necessary modifications based on system changes or new underwriting methodologies. Articulate necessary underwriting report and data impacts and requirements due to external changes. Keep upper management apprised of any current or expected changes that have extensive impact. 5. Train staff. Provide training on new workflows and procedures. Update templates and create new procedures for the rating staff. Check and audit work of the unit. Answer standard and complex questions from the accounts and AMS (Account Management and Sales department) on rate renewal methodology and calculations, as well as financial and statistical reports. 6. Complete performance evaluations for assigned staff; screen, interview and hire applicants when positions are open. 7. Perform other duties as assigned or directed.

Requirements

Bachelor's degree or equivalent combination of education and experience.
Three years progressively responsible experience in work involving medical plan rating, accounting, statistics, or math (or equivalent).
One year supervisory experience or equivalent leadership background.
Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

Responsibilities

Provide guidance to team members; ensure assigned Group Underwriters are able to deliver the rate renewal/RFP information necessary to support the Account Planning process.
Ensure all rating staff is adequately trained in the statistical reporting structure, financial accountability in the book of business concept, data mart use, and all other tools/concepts necessary to complete rate proposals.
Oversee the work of the unit and maintain responsibility for his/her own book of business.
Work to ensure HMSA maintains positive relationships with its most important clients by performing accurate rating analyses for the organization's largest politically sensitive accounts and/or accounts with the most complex financial arrangements.
Partner with Strategic Account Managers to acquire/retain accounts pivotal to the organization by attending customer meetings as a subject matter expert, communicating complex underwriting concepts to external decision makers in simple and understandable language.
Monitor effectiveness of workflow and make changes as necessary.
Supervise work of the unit staff to prepare rate filings for submission to the Insurance Division.
Track and report on status of filings.
Ensure the appropriate and timely response to verbal and written inquiries from the Insurance Division.
Responsible for implementing legal, structural or system changes in the rating unit, which can be driven by legal requirements such as Affordable Care Act regulations or system upgrades such as front end system replacements.
Develop and deliver necessary modifications based on system changes or new underwriting methodologies.
Articulate necessary underwriting report and data impacts and requirements due to external changes.
Keep upper management apprised of any current or expected changes that have extensive impact.
Train staff.
Provide training on new workflows and procedures.
Update templates and create new procedures for the rating staff.
Check and audit work of the unit.
Answer standard and complex questions from the accounts and AMS (Account Management and Sales department) on rate renewal methodology and calculations, as well as financial and statistical reports.
Complete performance evaluations for assigned staff; screen, interview and hire applicants when positions are open.
Perform other duties as assigned or directed.