Remote Leader, Group Rating Operations & Training

Blue Cross and Blue Shield of Kansas

Topeka (KS)

Hybrid

USD 99,000 - 124,000

Full time

6 days ago
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Benefits offered by this job

Paid parental leave
Fertility/Adoption assistance
401(k) matching up to 5%
Health & fitness benefits
6 weeks paid parental leave

Job summary

Blue Cross and Blue Shield of Kansas seeks a Supervisor Group Rating to lead analysts, ensure accurate rating operations, and partner with Sales, Actuarial, and Underwriting to improve efficiency and compliance. You will train staff, review complex rating situations, and support reporting and pricing insights.

The role requires guiding a team, coordinating across departments, and maintaining regulatory adherence, with eligibility for remote, hybrid, or onsite work per our Telecommuting Policy.

Qualifications

  • Bachelor's degree in Mathematics, Statistics, Actuarial Science, Business, or related field.
  • Minimum of four years of experience in group rating, underwriting, actuarial work, or health product sales.
  • Experience with health insurance contracts, rating systems, and alternative funding arrangements.
  • Prior leadership or supervisory experience preferred.

Responsibilities

  • Oversee Group Rating Analysts, ensuring quality control, workflow management, and employee development.
  • Oversee daily group rating activities, including reviewing special rating situations for accuracy and competitiveness.
  • Serve as a liaison between Group Rating and internal stakeholders to facilitate communication and decision-making.
  • Support automation and streamlining of rating processes with the Quality & Systems team.
  • Develop and maintain training materials and procedures related to rating methodologies.
  • Conduct training sessions for Sales, Underwriting, and other departments on rating policies.
  • Assist with concession analysis and reporting on rating impacts and pricing trends.
  • Review rate exhibits, ensuring alignment with financial and regulatory requirements.
  • Monitor market trends and advise leadership on process improvements in rating methodologies.
  • Ensure compliance with federal and state regulations, including ERISA and ACA.

Skills

Leadership
Communication
Analytical thinking
Regulatory knowledge
Stakeholder collaboration
Interpersonal skills
Project/workflow management
Mentoring/training

Education

Bachelor's degree in Mathematics, Statistics, Actuarial Science, Business, or related field

Job description

Blue Cross and Blue Shield of Kansas seeks a Supervisor Group Rating to lead analysts, ensure accurate rating operations, and partner with Sales, Actuarial, and Underwriting to improve efficiency and compliance. You will train staff, review complex rating situations, and support reporting and pricing insights.

The role requires guiding a team, coordinating across departments, and maintaining regulatory adherence, with eligibility for remote, hybrid, or onsite work per our Telecommuting Policy.

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