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Full-Time

Underwriting Business Consultant

Philadelphia/Salt Lake City

Posted on 10/17/2024

ParetoHealth

ParetoHealth

201-500 employees

Self-insured employee health benefits solutions

Consulting
Healthcare

Senior

Philadelphia, PA, USA

Category
Operations Consulting
Consulting
Requirements
  • Bachelor's degree in a related field; advanced degree or relevant professional certifications (e.g., CPCU, ARM) preferred.
  • Minimum of 5+ years of experience in healthcare underwriting, with a strong background in self-funded healthcare plans.
  • Proven experience in stop loss underwriting or account management.
  • Strong understanding of modern underwriting technologies and processes.
  • Demonstrated ability to collaborate effectively with both technical and non-technical teams.
  • Excellent analytical skills and a detail-oriented mindset.
  • Strong communication skills, both written and verbal.
  • Experience in training development and process improvement initiatives is a plus.
  • Prior experience in underwriting system development and/or improvement.
  • Project management experience with single and interdepartmental teams.
Responsibilities
  • Lead initiatives to enhance and modernize our underwriting platform, identifying opportunities for improved efficiency, automation, and user experience.
  • Design and implement training programs for underwriting teams, ensuring they are equipped with the necessary skills and knowledge to leverage the modern platform effectively.
  • Collaborate with underwriting teams to identify and streamline processes, driving continuous improvement initiatives that enhance workflow efficiency and productivity.
  • Partner with IT and product teams to articulate underwriting business needs, translating them into actionable specifications for technology development and implementation.
  • Oversee the implementation of new processes and technologies, ensuring adherence to updated practices and assessing the achievement of desired outcomes.
  • Stay abreast of industry trends and best practices in underwriting technology, recommending innovative solutions to enhance our platform and processes.
  • Execute tasks with high-level guidance from the Underwriting Operations Director, demonstrating initiative and strategic thinking in the evolution of our underwriting practices.

ParetoHealth offers employee health benefits solutions for small and medium-sized businesses through a self-insured model, allowing companies to directly cover health claims instead of paying insurance premiums. Their main product is the "benefits captive" program, where multiple companies share the financial risks of health claims, helping to manage costs effectively. They use data-driven intelligence to monitor health plan usage and ensure employees receive appropriate care at competitive prices. The goal is to provide a comprehensive solution for health benefits while promoting diversity, equity, and inclusion in the workplace.

Company Stage

Seed

Total Funding

$522.1K

Headquarters

Philadelphia, Pennsylvania

Founded

2011

Growth & Insights
Headcount

6 month growth

6%

1 year growth

6%

2 year growth

6%
Simplify Jobs

Simplify's Take

What believers are saying

  • Significant investment from Warburg Pincus and Great Hill Partners positions ParetoHealth for accelerated growth and market expansion.
  • The appointment of experienced leaders like Christine Lui Chen and Maeve O'Meara indicates strong leadership and strategic direction.
  • Achieving a milestone of 2,000 employers in their captive program demonstrates robust market acceptance and scalability.

What critics are saying

  • The complexity of managing a self-insured model and benefits captive program may pose operational challenges and require continuous innovation.
  • Dependence on the success of their data-driven intelligence system to manage claims costs could be a vulnerability if the system fails or underperforms.

What makes ParetoHealth unique

  • ParetoHealth's self-insured model and benefits captive program offer SMEs a unique way to manage and mitigate health benefit costs, unlike traditional insurance models.
  • Their data-driven intelligence system proactively manages claims costs, ensuring high-quality care at the best possible price, setting them apart from competitors.
  • ParetoHealth's commitment to DEI fosters a diverse and inclusive workforce, driving innovation and excellence in their services.

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