Magellan Health

Senior Director, Underwriting – Certified Actuary (FSA/ASA)

Magellan Health

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $127,295 - $229,105 per year

Job Level

Senior

About the role

  • Work with assigned business units and Finance to deliver profitable growth of the business line
  • Lead a staff managing the entire underwriting process for prospective clients
  • Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities
  • Interact with clients to resolve differences in projections and rate-setting methodology
  • Incorporate administrative cost projections and business unit profit objectives to develop final rates quoted to customer
  • Responsible for cost pricing, including evaluating data, building underwriting and evaluating profitability
  • Complete quarterly savings reporting to current clients and provide estimated savings for prospect clients
  • Review utilization, cost trends, and other assumptions used in pricing models
  • Evaluate cost impact of new product initiatives and propose rate structures to maximize profitability
  • Ensure appropriate underwriting policies and procedures are applied to new and existing business
  • Provide recommendations on product and customer rates to senior management and coordinate approval process
  • Manage team of pricing and reporting analysts.
  • Support a variety of projects from Business Unit and Corporate Finance.
  • Other duties as assigned.

Requirements

  • 12+ years of experience in underwriting
  • Minimum of 5 years of experience in underwriting management
  • Experience in leading a team of people
  • Thorough knowledge of the health care and health insurance industries
  • Ability to develop and document creative approaches to underwriting new products
  • Experience in analysis of medical and related administrative cost data
  • Strong knowledge of underwriting principles in a managed care environment
  • Excellent written and communication skills
  • Ability to self-start and work independently
  • Good analytical, reasoning and problem-solving skills
  • Strong organizational skills and must be able to adhere to strict deadlines
  • Willingness to learn new product lines and adapt to changing environment
  • Strong working knowledge Microsoft Office Product suite, specifically Excel
  • Experience with managing large data sets with tools such as MS Access.
Benefits
  • Health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
underwritingcost pricingdata analysiscost-of-care projectionsrate-setting methodologyprofitability evaluationpricing modelsproduct initiativesmanaged care principleslarge data set management
Soft skills
leadershipcommunicationanalytical skillsproblem-solvingorganizational skillsindependencecreativityadaptabilitytime managementteam management