Underwriter II

Marathon Health

1d•$65,000 - $85,000

About The Position

Support sales with the analysis needed to understand the likely costs of clinics (with direction and guidance of finance and other functions) and the likely healthcare cost savings from clinics for each potential client through analysis of historical claims experience. This position will help the industry transform healthcare by helping the organization and clients understand the facts related to health care costs –made possible by a proven new approach to offering primary care services through employers. The ideal candidate will be energized by the opportunity to use information and insights to proactively identify opportunities to continuously improve the Marathon Health business model and demonstrate the value of the services provided. The person in this position will need to collaborate well on a cross-functional basis with multiple key stakeholders. This position will work collaboratively with finance, sales and operations to assist with pricing that will deliver an acceptable return for MarathonHealth and consider the client return on investment while being competitive. This position will also need to work closely with sales and operations to tailor the solutions and related costs/benefits to meet the needs of clients (individually and overall).

Requirements

Bachelor’s Degree in Accounting/Finance/Math/Actuarial/Economics or related field plus 2 to 4 years’ experience in related work, or equivalent combination of education and experience.
Strong analytical and quantitative skills including building cost/benefit models, data mining, and the ability to summarize the implications of findings.
Understanding of medical diagnostic and procedure codes with the ability to organize large amounts of claims data using sound approaches and principles.
Strong knowledge and experience with health insurance and claims data analyses.
Strong financial modeling experience.
Notable experience with Microsoft Excel is required.
Strong organizational skills and ability to manage a large volume of email and telephone communication.

Nice To Haves

The ability to work well with and proactively with cross-functional team members across the organization to gather information, request assistance when needed, and provide support when needed.
Strong communication skills and ability to work effectively cross-functionally with sales, operations, finance, etc.
Strong communication skills and ability to work effectively cross-functionally with sales, operations, finance, etc.

Responsibilities

Assist in the development of new opportunity sales proposals.
Develop a full summary of expected clinic costs for each new prospective client or clinic.
Estimate likely savings from the clinic for each client based on a detailed understanding of the client’s health care claims cost experience and Marathon Health’s ability to make an impact.
Include the implications of this assessment in initial presentations to the client.
Work collaboratively with finance, sales and operations to recommend pricing that achieves targeted levels of contribution margin, considers the client’s forecast ROI and are competitive in the marketplace.
Work with claims history and Marathon Health clinic experience to estimate likely clinic savings.
Understand the medical claims history of each client and their performance in key categories relative to norms (primary care, urgent care, emergency rooms, etc.).
Analyze the full range of medical claims and all potential segments including but not limited mental health, dental, physical therapy, etc.
Recommend pricing that achieves targeted levels of contribution, considers the client’s forecast ROI and competition.
Develop pricing recommendations considering company margins, client expected ROI, and market competition.
Deliver these recommendations to the Vice President and Senior Actuary for review.