Remote Group Rating Analyst - Health Insurance Pricing

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

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