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Kaiser Permanente

Integrated healthcare provider and payer platform

Underwriter I

UnderwritingUpdated on Nov 12
Full-timeRenton, WA, USANo salary listedIn-person

About the Job

Requirements

  • A high school diploma or GED, or equivalent, or at least one year of experience working in a corporate or business office environment.

Responsibilities

  • Evaluate premium, claim, exposure, and population data to support analysis of population risk.
  • Identify actionable data insights and potential irregularities with the team.
  • Learn to use and document rate models, benefit pricing tools, data analytics tools, assumptions, and data elements that support business strategy and financial and underwriting risk management.
  • Process account activities, including running reports, re-quotes, investments, and sold rates, for customers or a book of business under close supervision.
  • Collaborate with internal departments to develop rates that mitigate organizational risk and support sustainable membership growth.
  • Assist with executing account plans addressing threats and opportunities in collaboration with Sales and Account Management.
  • Gather and review information to support rate negotiations.
  • Conduct account risk assessments using competitive analyses, broker behavior, network cost profiles, legislative and regulatory impacts, revenue requirements, and contributions.
  • Use data and standardized tools to present underwriting and renewal actions and recommendations, including rate drivers, potential risk, glide path, membership impact, and future projections, to clients or the organization.
  • Collaborate with Sales and Account Management to develop and document case and investment strategies and recommendations.
  • Interact with the external market under supervision to explain the underwriting approach, rating methodology, rate drivers, reporting capabilities, and distinctions from fee-for-service carriers.
  • Address data needs and requests as they arise.
  • Build relationships with customers and channel partners to help them understand the value of Kaiser Permanente.
  • Collaborate with account management and sales partners to develop and communicate financial solutions, product capabilities, and funding arrangements, and negotiate offering conditions and pricing within the limits of authority.
  • Support implementation of quality and process improvement efforts and execute work in support of department initiatives, program goals, and enterprise goals.
  • Use peer reviews to assess the accuracy and appropriateness of work, provide reviews of others' work as appropriate, and document case approvals, policy exceptions, and investments.
  • Maintain compliance with relevant policies, guidelines, and procedures.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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