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ADAPTED_NOW

Healthcare

Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one or more of the following: underwriting results, rate computations and financial activity. Analyzes data such as financial conditions of the organization, participation percentage, type of industry, characteristics of reinsurance programs, or past claim experience to determine what benefits can be offered and to set the rates.

ACTIVE

<b>Location: </b> McKeesport, PA<br/><b>Description: </b><b><u>Healthcare Reinsurance Underwriter -  Office Based Work</u></b><div><br/></div><div><b><i>MANAGED CARE REINSURANCE UNDERWRITER.</i></b><div><br/></div><div><b><u>JOB SUMMARY</u></b></div><div><ul><li>This job prices quotes and analyzes the structure of a contract based on claims experience, characteristics of the reinsurance programs. </li><li>Identifying when to decline quotes that do not fit strategy and risk structure. </li><li>Analyzes risk factors for new enrollment, annual renewals, and amendments of reinsurance programs  in conformance with established underwriting policies, practices, and standards. </li><li>Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. </li><li>Analyzes data such as financial conditions of the organization, participation percentage, type of industry, characteristics of reinsurance programs, or past claim experience to determine what benefits can be offered and to set the rates. </li><li>Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one or more of the following: underwriting results, rate computations and financial activity. </li><li>Provides expense estimates and accurate analysis of financial exhibits. </li><li>The incumbent provides oversight, guidance and/or assistance to lower level underwriters.</li></ul></div><div><br/></div><div><b><u>ESSENTIAL RESPONSIBILITIES:</u></b></div><div><ul><li>Responsible for a book of business of renewing accounts and writing new business at profitable levels </li><li>Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations</li><li>Identify questionable claim patterns of renewal clients and issues with competitor’s claims experience for prospect clients and develops recommendations to account for these situations. </li><li>Recommend appropriate adaptation of pricing within the appropriate policy/guideline to accommodate each client specific or individual situation. </li><li>Support other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts. </li><li>Complete renewals, prospect quotes, review of lower level analyst work in accordance with production and timeliness standards. </li><li>Communicate recommendations of policy adaptation to accommodate client-specific situations supported by a clear rationale or management principles. Influence sales and external audiences toward appropriate risk solutions. </li></ul></div><div><br/></div><div><br/></div><div><b><u>EDUCATION</u></b></div><div><u>Required</u></div><div><ul><li>Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other qualitative analysis discipline</li></ul></div><div><b><u><br/></u></b></div><div><b><u>EXPERIENCE</u></b></div><div><u>Required</u></div><div><ul><li>5 - 7 years Underwriting of Managed Care Reinsurance, Provider Excess or Healthcare reinsurance programs</li></ul></div><div><br/></div><div><b><u>Skills:</u></b></div><div><ul><li>Skilled and knowledgeable interaction with various internal departments and external stakeholders</li><li>Ability to use applicable computer systems, electronic tools and applications</li><li>Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex</li><li>Demonstrate an understanding and support of corporate and departmental goals and initiatives</li><li>Demonstrate ethical business practices with adherence to all privacy and confidentiality policies and regulations</li><li>Good problem-solving, organizational, and negotiation skills required</li><li>Excellent math aptitude required to complete analysis</li></ul></div><div><i><b>Please reply via this post or feel free to reach out to Matt Mabry at mmabry@judge.com or via text at</b> (484) 585-4078</i><br/></div><ul></ul></div><p>By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.</p><br/><b>Contact:</b> mmabry@judge.com<br/><div align="center" style="background-color:#999999"><i>This job and many more are available through The Judge Group. Find us on the web at www.judge.com</i></div>

<p>The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.</p>
<p>The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.</p>

Judge Group

Healthcare Reinsurance Underwriter

Sterling Office Professionals is conducting a confidential search for a Senior Consultant to support a leading healthcare consulting firm. Qualifications: Bachelor’s degree in healthcare, business, or related field (Master’s preferred) .

KBSkills

<p> Sterling Office Professionals is conducting a confidential search for a Senior Consultant to support a leading healthcare consulting firm. This is a contract-to-hire position!<br/><br/><em><strong>Key Responsibilities:</strong></em></p><ul><li><p> Lead healthcare consulting projects from initiation to completion </p></li><li><p> Partner with clients to assess needs and implement tailored solutions </p></li><li><p> Analyze billing, coding, and compliance workflows </p></li><li><p> Drive strategic planning and process improvements </p></li><li><p> Ensure regulatory compliance and project quality </p></li><li><p> Other duties as neeeded. </p></li></ul><em><strong>Qualifications:</strong></em><ul><li><p> Bachelor’s degree in healthcare, business, or related field (Master’s preferred) </p></li><li><p> 4 + years of healthcare consulting or project management experience </p></li><li><p> Strong leadership, client-facing, and analytical skills </p></li><li><p> Knowledge of revenue cycle, compliance, and healthcare operations </p></li><li><p> CPC, RHIA, RHIT, or CCS Certifications are a plus </p></li></ul>

STERLING

Senior Consultant (Healthcare)

Analysis Skills

Billing

Certified Coding Specialist (CCS)

Consulting

Customer Relations

Leadership

Maintain Compliance

Needs Assessment

Process Improvement

Project/Program Management

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Strategic Planning

AllTek Staffing

Freelance Healthcare jobs in Library, PA on your radar? Find the best of them right here on Monster.

Freelance Healthcare Jobs in Library, PA

Judge Group

STERLING