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Group Rating Analyst

🕒 Yesterday

🌪️ Kansas, Missouri – Remote

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💵 $85.6k - $107k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Logo of Blue Cross and Blue Shield of Kansas

Blue Cross and Blue Shield of Kansas

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Blue Cross and Blue Shield of Kansas is the largest health insurer in the state of Kansas and operates as a mutual insurance company owned by its policyholders. Governed by a board consisting of 16 Kansans with diverse expertise, the company ensures that the voices of customers and healthcare professionals are included in its operations. With a strong financial foundation, BCBSKS pays over $1 billion in annual claims to healthcare providers and actively contributes more than $140 million to the local economy through payroll and taxes. Headquartered in Topeka, KS, it employs nearly 1,400 individuals across various locations in the state and is part of the Blue Cross Blue Shield Association, which facilitates collaboration among 36 independent Plans nationwide.

📋 Description

• Execute rating and underwriting for employer groups • Perform production rating for self-funded and fully insured employer groups, including ASO, level-funded, and merit groups • Assist with quality checking for production • Support development and pricing of associations/AHPs • Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities • Complete and process GRIT options, contracts, and related documents for enrolled and prospect groups • Prepare and deliver prospect quotes using GRIT • Respond to Sales inquiries regarding rating methodologies and group pricing • Facilitate organization and maintenance of self-funded group contracts • Track prospects, contracts, concessions, and reporting elements • Collaborate with Sales and Underwriting to provide accurate group pricing and support inquiries • Support the Team Lead, Group Rating, in production rating, quality checking, contract facilitation, and reporting

🎯 Requirements

• High school diploma or equivalent required • Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred • Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required • Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred • Familiarity with self-funded and level-funded plans preferred • Strong analytical and problem-solving skills • Detail-oriented with ability to conduct quality checks and maintain consistency in rating methodologies • Excellent communication skills • Ability to interpret and apply rating methodologies for self-funded and fully insured groups • Proficiency in managing contracts, documentation, and tracking reports • Strong organizational skills • Ability to work collaboratively within a team-oriented environment • Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems • Knowledge of health insurance underwriting principles and regulatory requirements preferred • Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment • Successful candidates must undergo pre-employment drug screening, criminal conviction check, employment verifications, and education verification

🏖️ Benefits

• Paid vacation and sick leave • Paid maternity and paternity leave available immediately upon hire • Ongoing training and development programs • Flexible work environment • Incentive pay program (EPIP) • Health, vision, and dental insurance • 6 weeks paid parental leave for new mothers and fathers • Fertility/adoption assistance • 2 weeks paid caregiver leave • 401(k) plan matching up to 5% • Tuition reimbursement • Health and fitness benefits, discounts and resources

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