Job Description
Job Description
This position can be work from home anywhere or in any Aetna office in the United States.
- This is an individual contributor role supporting Aetnas ability to achieve its financial and strategic goals through effective underwriting.
- Position could be in Medical, Pharmacy, Dental/Vision, or Student Health Underwriting.
- Underwriting support primarily includes identifying, evaluating, and managing risk to maximize revenue, membership and earnings.
- Performs underwriting analysis and risk assessment for new and/or renewal of large group contracts and accountings.
- Assigned cases/book of business with increasing levels of complexity and will include multiple product types, funding arrangements and/or rating methodologies.
- Prepares and delivers complex new business quotes and/or existing business renewals.
- Independently reviews work for accuracy, identifies risks and makes recommendations to manage risk while growing or retaining membership.
- Leverages knowledge and experience of risk analysis in mentoring others when making recommendations.
- Anticipates questions and formulate responses.
- Utilizes advanced functionality of underwriting tools, systems, and reference materials to produce accurate quotes, renewals and/or accountings within assigned timelines
- Applies underwriting guidelines and utilizes underwriting variance authority for their position on any work assigned to them
- Develops underwriting strategies for customers in concert with other stakeholders (sales, claims, customer service) by using knowledge of industry trends, economy, competition, and business objectives.
- Is able to independently present information to employers, brokers and consultants as needed.
- Produces timely and accurate customer specific documents, deliverables and account related information.
- Ensures the pricing and/or accounting supports the quote/renewal strategy.
- Peer reviews others work for accuracy.
- Conducts audits on premiums, fees and claim wires to ensure all receivables are accurate and accounted for.
- Tracks and approves customer allowances or MBE/WBE goals using compliance guidelines.
- Actively participates in projects or workgroups focused on process improvement through automation or process change and may be opportunities to take a leadership role.
- In addition to mentoring, identifies training gaps and recommends an appropriate course of action.
- May be asked to develop or deliver training.
#AetnaUW
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 126,600
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls.
The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 5-7 years experience in underwriting/accounting pricing methodologies and funding arrangements.
- Demonstrated success
prioritizing work and the ability to multi-task in a fast-paced environment.
- Demonstrated ability to utilize analytical and independent thinking skills.
- Demonstrated success in collaborating with others to meet/exceed expectations.
- Experience providing clear and concise written and verbal communications with internal and external audiences
- Experience working with standard Microsoft Office suite with extensive Microsoft Excel knowledge and skills
Preferred Qualifications
- See Required Qualifications above.
Education
- Bachelors degree or equivalent experience.
Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Apply
#J-18808-Ljbffr
Job Tags
Local area, Flexible hours,