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Team Lead, Underwriting - Actuarial

Maumee, Ohio; Toledo, Ohio
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Description

At Paramount, we offer insurance to both large and small groups and also cater to Medicare (Paramount Elite) subscribers in northwest Ohio and southeast Michigan. Our Medicaid product (Paramount Advantage) services those living in the state of Ohio. We maintain an accreditation by the NCQA – the National Committee for Quality Assurance – for our Ohio HMO, Elite and Advantage products. We’re also part of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest. For more information about Paramount, please visit our website http://www.paramounthealthcare.com.

 

Position Summary

The Team Lead is the primary position responsible for oversight and the enforcement of underwriting practices and policies.   Evaluation of risk for both prospective and renewal rate proposals consistent with corporate revenue goals and standards.  Responsible for conducting research, using risk assessments, and financial modeling to make high level decisions which support the strategic and marketing goals and objectives of the health plan.

 

Accountabilities

1.    Evaluate risk and rate calculations of large prospective and renewal rate proposals and make strategic recommendations to leadership. Assist, support, and guide other team members on UW techniques, market trends, and appropriate rating methodology. 
2.    Enforce and ensure all compliance and quality control standards are being met by underwriting team.
3.    Organize and lead rating and reporting discussions with brokers, consultants, and clients, as needed.  

4.    Provide analytical support to Actuarial team in evaluation of rating factors, rate filings, benefit design, and product development. 
5.    Assist Finance Department in the development of the commercial product line revenue budget.
6.    Create, modify, test, and maintain rating spreadsheets/software.  Interpret updated rate filings and ensure that they are incorporated into production.
7.    Discuss strategies for new sales growth and retention of current business with Sr. Leadership as well as bring forth suggestions on benefit and policy changes to increase member satisfaction and improve profitability.
8.    Prepare executive level dashboards that demonstrate progress towards department metrics and develop ad hoc reporting to address specific concerns as needed.
9.    Plan, organize, staff, direct and oversee the day-to-day operations of the team; develop and implement policies and programs as necessary. 
10.    Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
11.    Recommend and implement changes to current processes, tools, and software to improve internal and external customer service as well as profitability. 
12.    Perform other duties as directed.
 


  • Education: Bachelor's degree in business or healthcare administration, math, actuarial science or insurance required.
  • Management experience required.
  • Excellent communication and organizational skills required.  
  • Experience using Microsoft Office programs, especially Excel, Word, Access, and Power Point required.  
  • Ability to plan, coordinate, and organize multiple priorities with minimal supervision.  
  • Must be adaptable to change, display qualities of initiative and be able to work independently.  
  • Proven strong leadership, analytical and problem solving skills.  
  • Must have ability to generate quality work product under tight deadlines in a dynamic, fast-paced environment.  
  • Demonstrate creativity and be able to develop innovative solutions to business challenges.  
  • Leads by example to cultivate a climate of motivation, positive energy and meaning in work.
  • Years of Experience: Minimum of 5 years of experience in finance related to health care.

 

Preferred Qualifications

  • Education: MBA preferred

 

 

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio.  For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

 

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