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Manager, Group Underwriting - Large at Blue Shield of CA in Oakland, California

Posted in Other 30+ days ago.

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Type: Full Time





Job Description:

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Were excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Areas top companies in volunteering & giving, and one of the worlds most ethical companies. Here at Blue Shield of California, were striving to make a positive change across our industry and the communities we live in Join us!

Ensures appropriate actuarial factors and rating methods are followed to determine accurate exposure to Blue Shield CAs products.

Ensures day-to-day work flow procedures, assignments, guidelines and quality improvement measures are effectively executed by team/unit.

Reviews and analyzes the competitor ratings, pricing practices and assesses the appropriateness of pricing positions.

Reviews the completion of quotes, bid specifications, benefit design strategies and financial alternatives.

Ensures underwriters work closely with the sales teams in developing proposed rating positions and benefit offering strategies as well as participates in discussions, negotiation and relationship building with brokers, consultants, agents and/or employers.

Participates on cross-functional and special project teams developing and implementing new processes and methods.

Participates in Management Review sessions on new business quotes and renewals.

Other duties as assigned.

Ensures appropriate actuarial factors and rating methods are followed to determine accurate exposure to Blue Shield CAs products.

Ensures day-to-day work flow procedures, assignments, guidelines and quality improvement measures are effectively executed by team/unit.

Reviews and analyzes the competitor ratings, pricing practices and assesses the appropriateness of pricing positions.

Reviews the completion of quotes, bid specifications, benefit design strategies and financial alternatives.

Ensures underwriters work closely with the sales teams in developing proposed rating positions and benefit offering strategies as well as participates in discussions, negotiation and relationship building with brokers, consultants, agents and/or employers.

Participates on cross-functional and special project teams developing and implementing new processes and methods.

Participates in Management Review sessions on new business quotes and renewals.

Other duties as assigned.

Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work

organization, risk management and delegation.

Understands Blue Shield of CAs mission and business plan.

Has functional expertise within the area of responsibility.

Typically, requires advanced knowledge of job area usually obtained through advanced education combined with experience.

Typically, requires a college degree or equivalent experience and minimum 7 years prior relevant experience,

including 3 years of management experience gained as a team leader, supervisor or project/program manager.

Generally, requires eight years of relevant underwriting experience in healthcare and one to two years of supervisory experience leading a work or cross functional underwriting team.

Requires a BA/BS in a related field such as Finance, Mathematics or Accounting and/or equivalent combination of education and experience.

Graduate degree (e.g. MBA) is highly desirable.

Comprehensive knowledge of medical underwriting

Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work

organization, risk management and delegation.

Understands Blue Shield of CAs mission and business plan.

Has functional expertise within the area of responsibility.

Typically, requires advanced knowledge of job area usually obtained through advanced education combined with experience.

Typically, requires a college degree or equivalent experience and minimum 7 years prior relevant experience,

including 3 years of management experience gained as a team leader, supervisor or project/program manager.

Generally, requires eight years of relevant underwriting experience in healthcare and one to two years of supervisory experience leading a work or cross functional underwriting team.

Requires a BA/BS in a related field such as Finance, Mathematics or Accounting and/or equivalent combination of education and experience.

Graduate degree (e.g. MBA) is highly desirable.

Comprehensive knowledge of medical underwriting

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.