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Form of workPosition Summary
This job performs the pricing and risk review/selection of new business and/or renewal Aetna stop loss business for both Aetna Signature Administrators and/or Meritain plan sponsors. Aetna Signature Administrators (ASA) is a high-growth wholesale distribution channel for Aetna which provides self-funded plan sponsors access to Aetna's National provider network along with Aetna's stop loss insurance products via the Third Party Administrator (TPA) market.
- 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.
- Anticipates questions and formulate responses.
- Utilizes advanced functionality of underwriting tools, systems, and reference materials to produce accurate quotes, renewals and/or accountings.
- Applies underwriting guidelines and grants underwriting exceptions/financial variances for their assigned cases within the authority limit for the position.
- 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.
- Produces timely and accurate customer specific documents, deliverables and account related information.
- Ensures the pricing and/or accounting supports the quote/renewal strategy.
- Peer review others work for accuracy.
- Assists department with projects or workgroups.
- Identifies and supports process improvement through automation or process change.
- Identifies training gaps and recommends an appropriate course of action.
- May be asked to develop or deliver training.
- Mentors less experienced underwriters in development of technical skills or specific subject matter.
Preferred Qualifications
- 5-7 years' experience in healthcare underwriting/accounting pricing methodologies and funding arrangements.
- Intermediate to advanced experience working with Microsoft Office products.
Required Qualifications
- 3-5 years' experience in healthcare underwriting/accounting pricing methodologies and funding arrangements.
- 2-4 years' experience with stop loss underwriting and self funded plan sponsors.
- Demonstrated success in collaborating with others to meet/exceed expectations.
- Demonstrated ability to utilize analytical and independent thinking skills.
- Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment.
- Experience providing clear and concise written and verbal communications.
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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Job Posting Pay Equity Language Part 1
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Job Posting Pay Equity Language Part 2
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
This job performs the pricing and risk review/selection of new business and/or renewal Aetna stop loss business for both Aetna Signature Administrators and/or Meritain plan sponsors. Aetna Signature Administrators (ASA) is a high-growth wholesale distribution channel for Aetna which provides self-funded plan sponsors access to Aetna's National provider network along with Aetna's stop loss insurance products via the Third Party Administrator (TPA) market.
- 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.
- Anticipates questions and formulate responses.
- Utilizes advanced functionality of underwriting tools, systems, and reference materials to produce accurate quotes, renewals and/or accountings.
- Applies underwriting guidelines and grants underwriting exceptions/financial variances for their assigned cases within the authority limit for the position.
- 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.
- Produces timely and accurate customer specific documents, deliverables and account related information.
- Ensures the pricing and/or accounting supports the quote/renewal strategy.
- Peer review others work for accuracy.
- Assists department with projects or workgroups.
- Identifies and supports process improvement through automation or process change.
- Identifies training gaps and recommends an appropriate course of action.
- May be asked to develop or deliver training.
- Mentors less experienced underwriters in development of technical skills or specific subject matter.
Preferred Qualifications
- 5-7 years' experience in healthcare underwriting/accounting pricing methodologies and funding arrangements.
- Intermediate to advanced experience working with Microsoft Office products.
Required Qualifications
- 3-5 years' experience in healthcare underwriting/accounting pricing methodologies and funding arrangements.
- 2-4 years' experience with stop loss underwriting and self funded plan sponsors.
- Demonstrated success in collaborating with others to meet/exceed expectations.
- Demonstrated ability to utilize analytical and independent thinking skills.
- Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment.
- Experience providing clear and concise written and verbal communications.
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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Job Posting Pay Equity Language Part 1
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Job Posting Pay Equity Language Part 2
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
