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Underwriting Consultant

Job in Pleasanton, Alameda County, California, 94566, USA
Listing for: Kaiser Permanente
Full Time position
Listed on 2026-01-25
Job specializations:
  • Business
    Business Development, Business Analyst, Risk Manager/Analyst, Business Consultant
Job Description & How to Apply Below

Note: Work location is remote (e.g. home address), per Kaiser Permanente’s Authorized States Policy ▪ Employees may be required to travel to a Kaiser Permanente or customer site. Residency required in the primary location:
This position may have visibility in all Kaiser Permanente Authorized locations.
* Compensation may differ based on the market.

Job Summary

Evaluates moderately complex data to understand premium, claim, exposure, and population. Identifies and escalates actionable data insights/irregularities, recommending solutions. Creates/uses/documents models, tools, and assumptions that support business strategy analysis and risk management. Makes recommendations to improve the implementation of quality and process improvement efforts. Works in support of department initiatives, program, and enterprise goals. Independently assesses risk of accounts. Leverages advanced knowledge of the external business environment.

With guidance as needed, presents renewal recommendations to clients/organization. Collaborates internally to develop case/investment strategies. Drives the development of rates and account plans that mitigate risk. Negotiates rates with external parties. Helps moderately complex customers understand underwriting approach. Addresses complex data needs and requests. Builds relationships and influences outcomes with customers and channel partners. Works with internal partners to bring financial solutions to increasingly complex customers.

Provides self/peer review of complex cases. Maintains compliance with relevant policies, guidelines, and procedures.

Essential Responsibilities
  • Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations.

    Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
  • Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines;

    identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
  • Analyzes and reports on data by: evaluating moderately complex data to understand premium, claim, exposure, and inform understanding of population risk; applying advanced knowledge to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; identifying and escalating actionable insights and potential data irregularities and recommending solutions; determining and executing on the best course of action for creating and using models (e.g., rate models and benefit pricing tools) and data analytics tools that support the analysis of business strategy and financial/underwriting risk management;

    and consistently documenting models, tools, assumptions, and data elements for increasingly complex accounts, as required.
  • Completes case and underwriting work by: independently processing renewal activities (e.g., running reports, re-quotes, investments,…
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