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Senior Manager, Stop Loss Underwriting

Company: Blue Shield of CA
Location: Fresno
Posted on: October 17, 2020

Job Description:

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Were excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Areas top companies in volunteering & giving, and one of the worlds most ethical companies. Here at Blue Shield of California, were striving to make a positive change across our industry and the communities we live in Join us!

The Stop Loss Underwriting Senior Manager leads the stop loss underwriting team and is responsible for stop loss underwriting, identifying risk, risk mitigation through applying appropriate stop loss policy terms, and leading negotiations to achieve membership and operating income plan targets.



The Stop Loss Underwriting Senior Manager reports to the director of stop loss underwriting. Available to work out of any Blue Shield of California Office. Flexibility to work from our Costa Mesa office is preferred due to staff primarily located in this office. Travel will be required up to 50% of the time, depending on home office location.



CRITICAL RESPONSIBILITIES FOR THIS ROLE INCLUDE:

*

Block oversight and management responsibilities
*

Leadership, develop and attract talent
*

Underwriting rigor to drive both block performance and growth
*

Stop loss underwriting for renewal accounts and new business prospects
*

Achieve stop loss business plan targets for revenue, membership, and profit
*

Identify risk, propose and implement stop loss policy terms to mitigate risk
*

Develop and execute underwriting strategies and practices to achieve plan objectives
*

Binding stop loss policies leveraging required data to lock in contracts under appropriate terms
*

Develop options that meet current and prospective client stop loss coverage requirements
*

Adhere to underwriting policy and manage governance to policies and pricing tenets
*

Interpret and communicate changes in company guidelines, policies and procedures.
*

Develop and present financials in business review sessions to leadership
*

Present at finalist presentations, employer group meetings, and broker/consultant negotiations

Stop Loss Underwriting Senior Manager requirements include senior level stop loss underwriting experience at an employer stop loss re-insurer and/or carrier health plan. Additional requirements include block oversight responsibilities, advanced stop loss underwriting expertise, and proven track record for growing a profitable employer group stop loss block.

The Stop Loss Underwriting Senior Manager leads the stop loss underwriting team and is responsible for stop loss underwriting, identifying risk, risk mitigation through applying appropriate stop loss policy terms, and leading negotiations to achieve membership and operating income plan targets.



The Stop Loss Underwriting Senior Manager reports to the director of stop loss underwriting. Available to work out of any Blue Shield of California Office. Flexibility to work from our Costa Mesa office is preferred due to staff primarily located in this office. Travel will be required up to 50% of the time, depending on home office location.



CRITICAL RESPONSIBILITIES FOR THIS ROLE INCLUDE:

*

Block oversight and management responsibilities
*

Leadership, develop and attract talent
*

Underwriting rigor to drive both block performance and growth
*

Stop loss underwriting for renewal accounts and new business prospects
*

Achieve stop loss business plan targets for revenue, membership, and profit
*

Identify risk, propose and implement stop loss policy terms to mitigate risk
*

Develop and execute underwriting strategies and practices to achieve plan objectives
*

Binding stop loss policies leveraging required data to lock in contracts under appropriate terms
*

Develop options that meet current and prospective client stop loss coverage requirements
*

Adhere to underwriting policy and manage governance to policies and pricing tenets
*

Interpret and communicate changes in company guidelines, policies and procedures.
*

Develop and present financials in business review sessions to leadership
*

Present at finalist presentations, employer group meetings, and broker/consultant negotiations

Stop Loss Underwriting Senior Manager requirements include senior level stop loss underwriting experience at an employer stop loss re-insurer and/or carrier health plan. Additional requirements include block oversight responsibilities, advanced stop loss underwriting expertise, and proven track record for growing a profitable employer group stop loss block.

SPECIFIC COMPETENCIES INCLUDE:

*

Growing an employer stop loss block, both revenue and profit, in current/past underwriting management roles at reinsurance and/or health plans
*

Developing and attracting talent. Building a team.
*

Fostering relationships, building bridges across teams
*

Employer stop loss/reinsurance expertise
*

Proven track record for delivering results
*

Solutions oriented, focused on outcomes
*

In depth knowledge of health plan and re-insurer competitors and their products/strategies in the self-funded stop loss arena
*

Effective negotiation and presentation skills
*

Excellent relationship building and communication skills
*

Collaboration and working with a team
*

Delivering outcomes, execution

EDUCATION/CREDENTIALS/EXPERIENCE:

*

Bachelor's degree in a related field such as finance, mathematics or accounting and 10 years of stop loss underwriting experience in employer stop loss underwriting, or equivalent combination of education and experience, a graduate degree is highly desirable
*

Oversight responsibility of employer stop loss block
*

People / team leadership with proven track record for developing and attracting talent

SPECIFIC COMPETENCIES INCLUDE:

*

Growing an employer stop loss block, both revenue and profit, in current/past underwriting management roles at reinsurance and/or health plans
*

Developing and attracting talent. Building a team.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Keywords: Blue Shield of CA, Fresno , Senior Manager, Stop Loss Underwriting, Executive , Fresno, California

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