Health Plan Underwriter

Centivo; Buffalo (NY); Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative health plan provider is seeking an Underwriting Analyst to join their Healthcare Finance & Analytics Team. This fully remote role involves developing financial analyses to support the sales team, requiring a strong understanding of healthcare delivery and benefit plans. The ideal candidate will excel in data analysis and communication, working cross-functionally to synthesize complex information for diverse audiences. This role offers the chance to contribute to a mission-driven organization focused on making healthcare affordable and accessible. If you are passionate about transforming the healthcare landscape, this opportunity is perfect for you.

Qualifications

• 4 years' experience in healthcare or health insurance is required.
• Strong understanding of health care delivery and benefit plans.

Responsibilities

• Design and implement pricing models and financial analyses.
• Collaborate with teams to improve stop loss processes.

Skills

Data Analysis

Communication Skills

Analytical Skills

Interpersonal Skills

Customer Orientation

Education

Bachelor’s degree in a quantitative discipline

Master’s in Public Health (preferred)

Tools

Excel

Tableau

SQL

Microsoft Office (PowerPoint, Word)

Job description

We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Summary of role:

The Underwriting Analyst/Underwriter role will sit within the Healthcare Finance & Analytics Team and will support the broader sales team by developing and delivering financial (including underwriting, actuarial and stop loss performance) analyses to support the business.

This role will work cross-functionally across Growth, Client Success and Network functions to clean, analyze, and synthesize data to share with technical and non-technical audiences.

The role requires a strong understanding of health care delivery and health benefit plans as well as sophisticated data analysis skills and expertise in analytics software. The Analyst should be able to understand the strategic business implications, to Centivo and our clients, of the analyses and quantitative assessments.

Responsibilities Include:

• Design, develop and implement pricing models, inclusive of risk sharing methodology that align to company financials and business results and also align with sales process and support delivery of the sales results.
• Design, develop and maintain financial/underwriting models to support sales, RFP responses, renewals and provider/network contracting processes.
• Work in collaboration with other teams/departments to drive improvements in stop loss processes, including providing technical analysis on stop loss quotes, renewals, etc. Support or lead negotiations of stop loss proposals as needed.
• Assist Growth team and benefit advisors and employers with plan design, contribution modeling, development of premium equivalents and benefit plan accrual rates.
• Provide technical analysis on stop loss quotes, renewals, etc.
• Work with Client Success team and Healthcare Analytics team to develop year-end client reviews and renewals.

Qualifications:

• Bachelor’s degree in a quantitative discipline (math, actuary, statistics, risk/insurance, economics, econometrics, financial analysis).
• 4 years' experience in healthcare or health insurance.
• 2 years' experience underwriting fully insured and self-insured cases.
• 2 years' experience with stop loss placement, negotiation, pricing or underwriting.
• Sophisticated skills with analytical, spreadsheet and database tools – Excel, Tableau - SQL is a plus.
• Knowledge of health care, preferably in the context of claims, reimbursement and risks.
• Ability to prioritize and organize own work to meet deadlines.
• Excellent verbal and written communication skills including the ability to clearly communicate and understand complex or technical information.
• Mastery of Microsoft office tools – PowerPoint, Word etc.

Preferred Qualifications:

• Advanced education, either Master’s in Public Health, health underwriting certification.

Skills & Interpersonal Behaviors and/or Leadership Skills:

• Strong interpersonal skills, establishing rapport and working well with others.
• Customer-orientation.

Work Location:

This is a fully remote role.

Values:

• Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up.
• Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.
• Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive.

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.