Group Rating Analyst

Blue Cross & Blue Shield of Kansas, Inc.; Topeka (KS); Hybrid; USD 86,000 - 107,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

6 weeks paid parental leave

Fertility/Adoption assistance

2 weeks paid caregiver leave

401(k) plan matching up to 5%

Tuition reimbursement

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Group Rating Analyst to execute the rating and underwriting of employer groups, ensuring accuracy and compliance with established methodologies. This role supports the Team Lead, Group Rating, in production rating, quality checking, contract facilitation, and reporting.

The analyst collaborates with Sales and Underwriting to provide accurate group pricing, support inquiries, and maintain organized tracking of contracts, prospects, and

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred.
• Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required.
• Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred.
• Familiarity with different funding arrangements, including self-funded and level-funded plans, is preferred.

Responsibilities

• Perform production rating for self-funded and fully insured employer groups, including Administrative Services Only (ASO), Level-Funded, and Merit groups, ensuring accuracy and adherence to rating guidelines.
• Assist in the quality checking process for production, ensuring accuracy and consistency.
• Support the development and pricing of associations/AHPs, maintaining compliance with rating methodologies.
• Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities.
• Complete and process Group Rating Information Tracker (GRIT) options, contracts, and related documents for enrolled and prospect groups in support of Sales.
• Prepare and deliver prospect quotes using GRIT, ensuring alignment with corporate rating formula and underwriting standards.
• Respond to inquiries from Sales, providing clear and accurate information regarding rating methodologies and group pricing.
• Facilitate the organization and maintenance of self-funded group contracts.
• Track and maintain records of prospects, contracts, concessions, and other key reporting elements, ensuring accurate documentation and accessibility.

Skills

Analytical skills

Attention to detail

Communication skills

Team collaboration

Education

Bachelor's degree preferred

High school diploma or equivalent

Tools

Microsoft Office

Underwriting systems

Job description

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

You Belong At Blue

Why Join Us?

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Professional Growth Opportunities: Advance your career with ongoing training and development programs.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
• Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
• Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

Base compensation is only one component of your competitive Total Rewards package

Incentive pay program (EPIP)

Health/Vision/Dental insurance

6 weeks paid parental leave for new mothers and fathers

Fertility/Adoption assistance

2 weeks paid caregiver leave

401(k) plan matching up to 5%

Tuition reimbursement

Health & fitness benefits, discounts and resources

Job Summary

The Group Rating Analyst is responsible for executing the rating and underwriting of employer groups, ensuring accuracy and compliance with established methodologies. This role supports the Team Lead, Group Rating, in production rating, quality checking, contract facilitation, and reporting. The analyst collaborates with Sales and Underwriting to provide accurate group pricing, support inquiries, and maintain organized tracking of contracts, prospects, and concessions.

“This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.”

What you’ll do

• Perform production rating for self-funded and fully insured employer groups, including Administrative Services Only (ASO), Level-Funded, and Merit, groups, ensuring accuracy and adherence to rating guidelines.
• Assist in the quality checking process for production, ensuring accuracy and consistency.
• Support the development and pricing of associations/AHPs, maintaining compliance with rating methodologies.
• Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities.
• Complete and process Group Rating Information Tracker (GRIT) options, contracts, and related documents for enrolled and prospect groups in support of Sales.
• Prepare and deliver prospect quotes using GRIT, ensuring alignment with corporate rating formula and underwriting standards.
• Respond to inquiries from Sales, providing clear and accurate information regarding rating methodologies and group pricing.
• Facilitate the organization and maintenance of self-funded group contracts.
• Track and maintain records of prospects, contracts, concessions, and other key reporting elements, ensuring accurate documentation and accessibility.

What you need

• Education and Experience: High school diploma or equivalent required.
• Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred.
• Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required.
• Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred.
• Familiarity with different funding arrangements, including self-funded and level-funded plans, is preferred.

Knowledge/Skills/Abilities

• Strong analytical and problem-solving skills to ensure accuracy in rating and pricing.
• Detail-oriented with the ability to conduct quality checks and maintain consistency in rating methodologies.
• Excellent communication skills to effectively support Sales and Underwriting teams.
• Ability to interpret and apply rating methodologies for a variety of funding arrangements, including self-funded and fully insured groups.
• Proficiency in managing contracts, documentation, and tracking reports.
• Strong organizational skills to manage multiple tasks and meet deadlines.
• Ability to work collaboratively within a team-oriented environment.
• Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems.
• Knowledge of health insurance underwriting principles and regulatory requirements preferred.

Compensation

$85,600 - $107,000 Exempt Grade 16

Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

For more than 70 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust. As we move forward in this new era of health care we want to continue that tradition. Whether a member needs Blue Cross to cover an annual check-up or give them peace of mind during a major medical crisis, we want our members to know they can trust BCBSKS to meet their needs.

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.