Job Description:Your RoleThe Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer groups over 3,000 subscribers and all size Labor and Trust groups. The Premier UW Consultant will report to the Senior Manager of Premier, Northern California. In this role you will be assigned and responsible for a renewal book of at least $100M in annual revenue to execute rating targets and strategic discussions. In addition, you will develop executive level presentations/strategy and recommendations for larger complex rating proposals.Your WorkIn this role, you will:
Integrate competitor's rating, pricing practices, provider's networks in new business and renewal pricing analytics
Analyze customer specific financial condition, employee demographics and past claim experience to determine degree of risk, benefits and rates for large complex plan sponsors
In partnership with the sales team, develop proposed rating position and benefit offering strategies while balancing growth and profitability objectives
Perform complex modeling including utilization data, COHC, shared risk projections on new business prospects to optimize competitive offers
Provide advice on underwriting principles and techniques to other departments and functions including senior management
Assess cost of healthcare risks for both new business and renewals by using multi-year data and actuarial tools across multiple funding arrangements
Apply actuarial pricing tools to customer specific utilization while balancing multiple strategies, market competitiveness, membership, and profitability goals
Identifies and researches risk issues and proposes strategy to resolve issue to management for consideration
Qualifications:Your Knowledge and Experience
Requires a bachelor's degree in a related field such as finance, mathematics or accounting and/or equivalent combination of education and experience
Requires at least 7 years of prior relevant experience
Excellent analytical and problem-solving skills
Requires deep knowledge of job area typically obtained through advanced education combined with experience
Strong work ethic and self-motivated
Ability to change financial projections based on data driven information to allow expedient decision-making
Be able to train, price and have in-depth knowledge of complex funding arrangements (fully insured, self-funded arrangement and specialty (dental, vision & life)
Advanced communication and consultative skills
Pay Range: The pay range for this role is $109,120.00 to $163,680.00 for California.Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.About the Team:Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!Our Values:
Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model:Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That's why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.Two ways of working: Hybrid (our default) and office
Hybrid - In a business unit approved office a few times per year to 3 days per week, on average
Office - In a business unit approved office 4+ days a week, on average. If the role you're applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.
Physical Requirements:Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.Equal Employment Opportunity:External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
