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Senior Pricing & Underwriting Analyst

Company: Hawaii Dental Service (HDS)
Location: Honolulu
Posted on: March 17, 2023

Job Description:

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Senior Pricing & Underwriting Analyst Regular Full-Time Honolulu, HI, US 5 days ago Requisition ID: 1136 POSITION SUMMARY Under general direction, performs and coordinates timely underwriting of existing and prospective groups and monitors the overall membership, utilization, and premium revenue against established targets. Analyzes and presents reports illustrating the factors impacting overall enrollment and utilization trends. Recommends underwriting strategy and provider fee changes for HDS based on overall pricing strategy. ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Produces accurate and timely employer group rate proposals that adhere to existing underwriting policies and guidelines, including supporting reports. Partners with Sales to provide appropriate information that will increase the likelihood of success in renewing existing groups and acquiring new groups. As needed, support Sales on customer and broker/consultant meetings, calls, and other communication. Conduct peer review on select group rating. Directly handles and/or oversees the most complex requests for proposals (RFPs), e.g., State and medical partners.
  • Serves as the company's specialist on pricing and underwriting matters relating to premiums established for various plans. Continuously improves the efficiency and accuracy of the rating model (e.g., adding or modifying rating factors, rules, and methodologies). Ensures that the outcome of the model delivers the expected results. Designs and recommends changes to improve the efficiency of the processes including increasing automation of group renewals. Assists in establishing and maintaining consistent methodologies and reports across all team members.
  • Assists department leadership in developing annual plan and strategies, tactics, and resources necessary to achieve targets and goals for the department. Also assists in prioritizing pricing related projects to ensure all project deadlines are met.
  • Peer reviews other analysts' underwriting and reporting methodology and results for projections of underwriting gains/losses. Analyzes and explains differences between actual and projected underwriting experience. Acts as a mentor for other team members by developing their underwriting, analytical, and project management skills.
  • Monitors trends in utilization and fees, and competitive data. Conducts and/or reviews provider fee calculations based on established methodology. Recommends changes to fee calculation methodology as needed. Determines impact to trend factor with changes in fee schedule. Reviews analysis and recommendations with department and organization leadership.
  • Prepares ad hoc reports for groups, providers, consultants, DDPA and others internally and externally.
  • Prepares and/or reviews individual and small group rating methodologies. Prepares and coordinates documents for regulatory filings.
  • Other Duties and Responsibilities:
    • Assists with the design, writing, maintenance and production of departmental manuals, including but not limited to standard operating procedures, process flow charts, and user manuals.
    • Supports sales efforts for development and implementation of new services and products.
    • Assists Accounting and Finance Department with analysis for various types of reporting including but not limited to the annual budget, financial audit, and Board reporting.
    • Assist the department leader with special projects. MINIMUM QUALIFICATIONS AND EXPERIENCE Education Bachelor's degree in mathematics, actuarial science, data analytics, economics, statistics, finance, business administration or equivalent in education, experience or training. Experience Five (5) years of progressive experience in rating, underwriting, actuarial or related field with background in group rating for health or dental insurance, or the equivalent in an analytical role that included conducting detailed analysis using databases. Strong knowledge of Microsoft Excel and Word. Working knowledge of programming techniques such as SQL and statistical analysis preferred. Skills and Knowledge
      • Working knowledge of Microsoft Word and Excel. Preferred experience in writing queries using Oracle SQL or other programming language. Preferred knowledge in the use of Microsoft PowerPoint and Crystal Reports.
      • Ability to organize, analyze and solve complex problems.
      • Ability to handle and prioritize multiple tasks with some distractions.
      • Ability to focus on details. -
      • Ability to communicate both orally and in writing with all levels of staff, customers, consultants/brokers, and vendors on sensitive matters.
      • Technical knowledge to learn and understand computer applications for problem-solving and answering staff questions (prefer Windows, Word, Excel, and PowerPoint). Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

Keywords: Hawaii Dental Service (HDS), Honolulu , Senior Pricing & Underwriting Analyst, Accounting, Auditing , Honolulu, Hawaii

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