Calculates premium rate proposals and develops product portfolios for primarily for renewal business of 51 or more eligible employees. Contributes to the achievement of the financial and marketing objectives established by the Health Plan's strategic goals through the thorough assessment of group risk, the expected cost to deliver services, the expected marketability and competitiveness of health care services that will result in profitable enrollment. Uses actuarial data in standard application of the Health Plan's various rating methodologies and formulas and identifies potential areas for application of underwriting judgment. Knowledge of compliance on applicable state and federal laws and regulations that affect rating and underwriting practices is essential. Provides support to Management relative to financial forecasting, profitability and expense analysis, and assigned special projects.
COMPETENCIES AND SKILLS:
Demonstrates strong computer software and application skills, especially with Excel and Microsoft Word.
Demonstrates knowledge of underwriting criteria and premium computations.
Demonstrates effective interpersonal and organizational skills.
Demonstrates effective oral and written communication skills.
Demonstrates strong mathematical and analytical skills.
Demonstrates ability to be detail oriented.
Demonstrates ability to manage projects and prioritize work to ensure all deadlines are met in a timely manner.
Demonstrates ability to manage rapidly changing priorities.
Demonstrates ability to work independently.
The specific statements shown above are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job
EDUCATION AND/OR EXPERIENCE:
Bachelor's degree in Business, Mathematics, Statistics, Finance or other relevant field and minimum two years related professional work experience required.
Associate degree in Business, Mathematics, Statistics, Finance or other relevant field and minimum four years related professional work experience required.
Minimum eight years related professional work experience required.
Designations from programs/courses offered by Academy for Healthcare Management, S.M. Snow & Associates, Milliman USA or other recognized entity may substitute for part of work experience.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
About Geisinger: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.