Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities.
Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability.
Manage team of pricing and reporting analysts.
Magellan Health, Inc. is committed to making a difference in the health care industry and in the communities where they work and live. They value professional growth and development, total health and wellness, rewards and recognition as well as employee unity.
Collect, clean, process, and analyze potential and current clients’ pharmaceutical data using SQL, R, Python, and MS Excel.
Thoroughly understand internal and external data fields, identify patterns of data irregularities, and improve data quality and intake.
Assist in the writing and maintenance of the Underwriting infrastructure code in SQL, R, and Python.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. The company aims to rebuild trust in healthcare in the U.S. and deploy the infrastructure we need for the care we deserve; they have a startup energy with a focus on delivery.
Conduct risk assessment and classification by Manulife's philosophy and standards.
Communicate and collaborate with sales and head office colleagues to provide the highest quality and competitive decisions to our customers.
Maintain positive and effective relationships with internal and external partners.
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. They strive to attract, develop and retain a workforce that is as diverse as the customers they serve and to foster an inclusive work environment.
Manage a diverse portfolio of miscellaneous medical and telehealth accounts, handling risk selection, pricing, retention, growth, and profitability.
Analyze submissions, determine terms, and price business according to guidelines.
Collaborate closely with the hiring manager to shape the product and contribute to the growth of this new product.
Great American Insurance Group's member companies are subsidiaries of American Financial Group, providing specialty and property and casualty operations. With over 8,500 employees, they foster a "small company" culture where ideas are heard, combined with "big company" expertise.
Support RFP/RFI opportunities for new and renewal PBM opportunities with low to moderate complexity.
Support the creation and maintenance of consultant templates for assigned channel partners.
Create and refine SOPs to support RFP response development and submission working in collaboration with proposal managers and directors.
Judi Health is an enterprise health technology company, and it provides a suite of solutions for employers and health plans. They value a diverse workplace and celebrate the diversity that each employee brings, providing equal employment opportunities to all employees and applicants.
Manage Group Life & Disability underwriting for National Accounts.
Oversee pre/post-sale underwriting, profit management, and renewals.
Build relationships with internal/external partners and meet service goals.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly and fairly. They identify top-fitting candidates and share the shortlist with the hiring company, with final decisions managed by the internal team.