Job Description

Site: Mass General Brigham Health Plan Holding Company, Inc.



Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for evaluating and analyzing group insurance experience and community-rated fully and self-insured accounts. This role involves assessing the financial and operational aspects of group insurance proposals to determine coverage eligibility, pricing, and terms. The role operates with minimal supervision and is expected to be thoroughly versed in all concepts of claims analysis, claims projection, and benefit analysis. Consistently demonstrates a sound and thorough understanding of all Underwriting concepts to produce work with broad independence.




Essential Functions


Review and analyze group insurance accounts, including medical, dental, and other health-related plans. Evaluate risks associated with group applications, considering factors such as demographics, claims history, and market trends. Assume full responsibility for some Underwriting standard processes as assigned by the manager. Develop and present underwriting recommendations based on thorough analysis and risk assessment. Collaborate with brokers, agents, and healthcare providers to gather necessary information and clarify underwriting requirements. Comfortable collaborating with care management staff to leverage clinical data to improve underwriting projections. Train and/or mentor junior Underwriters. May help direct the workflow of more junior members of the team. Produce high-quality, error-free analyses that are reliable and understandable. Produce client-specific reporting promptly, ensuring data is consistent with prior distribution and other related Underwriting material. This reporting function will serve to support renewal underwriting as well as regular and ad-hoc client reporting. Regularly attend external client and consultant meetings to explain, defend, and negotiate premiums and Underwriting methodologies for both renewing and prospective clients, rarely requiring support from the Underwriting manager. Ensure compliance with regulatory standards and internal policies throughout the underwriting process.

Qualifications

Education

Bachelor's Degree required (experience can be accepted in lieu of degree)

Experience

At least 3-5 years of experience in group underwriting, preferably within the healthcare or insurance sector, required

Knowledge, Skills, and Abilities

Excellent analytical and quantitative skills, with the ability to interpret complex data. Strong attention to detail and accuracy in evaluations and recommendations. Proficient in underwriting software and Microsoft Office Suite, particularly Excel. Effective communication skills, both written and verbal, to convey complex information clearly. Comfortable presenting and defending rating methodology to clients and consultant partners. Strong interpersonal skills to build and maintain relationships with internal and external stakeholders. Ability to work independently and manage multiple projects simultaneously.

Additional Job Details (if applicable)

Working Conditions

This is a hybrid role with occasional team meetings at the office or visits to clients (roughly every few months)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$78,000.00 - $113,453.60/Annual

Grade

7



At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

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At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.