Managed Care Insurance Carrier Positions

This position determines renewal rates for inforce business, underwrites new business risks, and establishes appropriate reserve levels and underwrites benefit revisions. This position may also be responsible for reviewing manual bills. Additionally, this position will prepare in-depth reports and analyses regarding issues of general concern to the Underwriting team. This position may also assist in the training and development of subordinate level Underwriters and Rating Analysts. This position requires strong communication, negotiation, and problem-solving skills in working with sales reps, brokers, consultants, and customers. Participates with Sales in the presentation of underwriting results to customers, consultants, and brokers.

Manages the databases, procedures, campaign tools, and analytical tools needed for conducting high-yield database new-business acquisition campaigns.

This position is critical to Product Developments ability to implement new products and product enhancements that will meet the needs of our various market segments/targeted customers, thereby supporting our corporate growth goals. This position requires strong interpersonal and written communication skills, the ability to work well independently or with a team, as well as extensive knowledge of health insurance and managed care products.

The Senior Analyst is responsible for all supporting account reporting activities, including analyzing data, preparing ad hoc reports, maintaining the account reporting documentation system and meeting with clients. This individual will serve as the key support analyst for Account Reporting and, in this capacity, is responsible for ensuring that the data and analytical needs of external accounts and corporate Senior Management are met timely and accurately. This individual is also responsible for producing standard reporting packages and all monthly, quarterly and annual customized reporting.

The AE is responsible for developing, documenting and implementing a strategy for the ongoing account relationship. Included in this strategy / documentation is the identification of additional sales opportunities for the organization, identification of competitive risks, tracking of financial information, history of operations performance, identification of key activities & dates during the yearly cycle (or contract term), strategic orchestration of key internal contacts with key account contacts. This strategy should include input from the operations staff. BA/BS degree w/Health insurance account mgmt. experience desired.

This Manager is responsible for development of Internal Marketing Database- Work with IT in the design, implementation, and ongoing maintenance of an internal marketing database. This database will enable Marketing to execute error free mailings and to identify new sales and marketing opportunities through efficient management and analysis of customer and prospect data. Position will require proficiency on marketing database software/systems, and familiarity with data segmentation and usage of secondary data overlays. BS/BA degree with experience in analytical database marketing in major healthcare, fin’l svcs. or manufacturing concern.

Position is responsible for managing the assets and processes for creating new and renewal proposals for the largest and most complex business cases. In addition to managing the infrastructure for all the proposal writers, incumbent also has direct responsibility for selected proposals – usually responses to the most demanding and business sensitive RFP’s and RFI’s. BS/BA degree with 2-4 years experience in proposal writing and management in major health insurance company, or consulting firm.

This position is accountable for the development and management of our provider networks on a regional basis. This position is directly responsible for managing our relationship with network providers to ensure the seamless delivery of medical care to our members, while optimizing the financial performance of the network. Managers will participate in the development of regional medical delivery strategies and will be responsible for the development of provider specific plans. This culminates in negotiating and executing contracts and financial arrangements with hospitals, ancillary providers and independent practice associations (IPA’s). This position reports to the Assistant Vice President or Vice President of Network Management in a given region. BS/BA degree with 5+ years’ experience in institutional (hospital) contract negotiations.