Health Plan Underwriting Analyst

October 31, 2024

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Logo of Centivo

Centivo

Centivo is an innovative health plan provider for self-funded employers that focuses on delivering high-quality healthcare at an affordable cost. The company believes in the power of primary care to improve health outcomes and reduce costs. Centivo offers plans with free primary care, no deductibles, and low, predictable copays, thereby encouraging members to utilize their health benefits without financial burden. The plans are curated to meet stringent price and quality standards, promoting a strong relationship with primary care providers and integrating virtual care options. Centivo's approach is designed to reduce overall medical expenses while enhancing the healthcare experience for both employers and employees.

health benefits • health insurance • value-based care • healthcare • healthcare provider networks

201 - 500 employees

Founded 2017

⚕️ Healthcare Insurance

Description

• Design, develop and implement pricing models, inclusive of risk sharing methodology that align to company financials and business results and also align with sales process and support delivery of the sales results • Design, develop and maintain financial/underwriting models to support sales, RFP responses, renewals and provider/network contracting processes • Work in collaboration with other teams/departments to drive improvements in stop loss processes, including providing technical analysis on stop loss quotes, renewals, etc. • Assisting Growth team and benefit advisors and employers with plan design, contribution modeling, development of premium equivalents and benefit plan accrual rates • Providing technical analysis on stop loss quotes, renewals, etc. • Work with Client Success team and Healthcare Analytics team to develop year-end client reviews and renewals

Requirements

• Bachelor’s degree in a quantitative discipline (math, actuary, statistics, risk/insurance, economics, econometrics, financial analysis) • 4 years' experience in healthcare or health insurance • 2 years' experience underwriting fully insured and self-insured cases • 2 year's experience with stop loss placement, negotiation, pricing or underwriting • Sophisticated skills with analytical, spreadsheet and database tools – Excel, Tableau, SPSS • Knowledge of health care, preferably in the context of claims, reimbursement and risks • Ability to prioritize and organize own work to meet deadlines • Excellent verbal and written communication skills including the ability to clearly communicate and understand complex or technical information • Mastery of Microsoft office tools – PowerPoint, Word etc.

Benefits

• Offers Equity • Offers Bonus

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