Senior Health Underwriting Supervisor (Remote/Hybrid)

Blue Cross and Blue Shield of Kansas; Topeka (KS); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health/Vision/Dental insurance

6 weeks paid parental leave for new M/

Fertility/Adoption assistance

401(k) plan matching up to 5%

Tuition reimbursement

Health & fitness benefits, discounts

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Supervisor, Underwriting to oversee eligibility, enrollment and risk evaluation for group and individual business, ensuring adherence to guidelines and regulatory compliance.

You will lead a team, coordinate with Sales, Rating, Actuarial, and Membership, and drive process improvements while maintaining financial stability, training staff and ensuring accurate underwriting decisions across departments.

Qualifications

• High school diploma or equivalent required; Bachelor’s degree preferred.
• Minimum of 5 years’ experience in underwriting, group rating, actuarial, or risk adjustment with a focus on eligibility, enrollment, and risk evaluation in health insurance.
• LPN, CNA or Certified Medical Aid and/or experience coding medical records using ICD-9 or ICD-10 preferred.
• Prior leadership, supervisory, and training experience preferred.
• Background in medical underwriting, insurance products, regulatory compliance, and training/onboarding for underwriting teams preferred.

Responsibilities

• Supervise the daily operations of the Enrollment Risk area, ensuring accurate risk evaluation and underwriting decisions.
• Ensure compliance with underwriting eligibility and participation guidelines for group and individual business.
• Review and approve risk evaluations, ensuring appropriate documentation, follow-up, and decision-making on underwriting assessments.
• Partner with Sales, Rating, Actuarial, and Membership to clarify underwriting decisions and communicate eligibility methodologies to internal and external stakeholders.
• Oversee the testing and development of system enhancements, upgrades, and underwriting process improvements.
• Manage external and internal communications regarding risk evaluation, eligibility, and underwriting decisions.
• Provide training and ongoing education to Underwriting staff, Sales, and other departments to ensure consistency in underwriting policies and regulatory compliance.
• Maintain knowledge of federal and state underwriting regulations, including HIPAA, ACA, and other applicable compliance standards.
• Develop and implement workload management strategies, ensuring deadlines and department goals are met.
• Conduct quality control audits on underwriting decisions and risk assessments to ensure accuracy and consistency.

Skills

Underwriting principles

Eligibility guidelines

Risk assessment

Medical terminology

Communication skills

MS Office (Excel/Word/Outlook/Teams)

Underwriting systems

Education

Bachelor's degree preferred

High school diploma or equivalent required

Tools

Microsoft Office suite

Underwriting systems

Job description

Blue Cross and Blue Shield of Kansas is seeking a Supervisor, Underwriting to oversee eligibility, enrollment and risk evaluation for group and individual business, ensuring adherence to guidelines and regulatory compliance.

You will lead a team, coordinate with Sales, Rating, Actuarial, and Membership, and drive process improvements while maintaining financial stability, training staff and ensuring accurate underwriting decisions across departments.