Supervisor, Rating

Join to apply for the Supervisor, Rating role at HMSA
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Hybrid Work Environment - Must reside in Hawaii

• Employment Type:
  
  Full-time
• Exempt:
  Exempt

Manages Underwriting rating staff and partners with AMS (Account Management and Sales) staff to manage assigned book of business. Accountable for the financial performance of this block of business, both in member retention and profitability. Mentors, supervises, assigns and tracks work, providing guidance to and conducting training for the Underwriting team members. Responsible for performance management evaluations and hiring decisions for all assigned positions.

Performs high-level rating analysis for the organization's most complex and/or politically sensitive accounts.

$68,000 to $133,000, position eligible for an incentive bonus. Individuals typically begin between the minimum to middle of the pay range.

• 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 Word, Excel, and Outlook.

• Provide guidance to team members; ensure assigned Group Underwriters deliver rate renewal/RFP info necessary to support the Account Planning process. Ensure all rating staff is adequately trained in the statistical reporting structure, financial accountability, data mart use, and other tools 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.
• Implement legal, structural or system changes in the rating unit, driven by legal requirements (e.g., Affordable Care Act regulations) or system upgrades (e.g., 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 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.

Mid‑Senior level

Other

Insurance