Principal Underwriter

Job not on LinkedIn

🔥 47 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $150k - $165k / year

⏰ Full Time

🔴 Lead

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Health Network One

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1999

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.

📋 Description

• Build pricing and underwriting models and analyses to guide new deal pricing and review of existing pricing arrangements. • Perform detailed medical cost, utilization, and trend analyses to support rate development and pricing recommendations. • Evaluate profitability of quotes, renewals, and book-level performance relative to pricing assumptions. • Track performance of existing contracts. • Support evaluation of risk and pricing strategies for new and existing products through multiple scenarios, such as base, downside and upside cases. • Analyze and assess the integrity of the data being used for underwriting. • Identify and recommend mechanisms and contract terms that mitigate known and unknown risks and uncertainties. • Partner with operations, medical economics / business analytics, product, sales, account management and others as appropriate, including providing guidance during the proposal, diligence and contracting phases regarding data and analytics requirements to ensure strong underwriting can be achieved, along with maximizing outcomes and minimizing risk. • Maintain data integrity and accuracy in pricing and underwriting databases. • Perform additional duties as assigned.

🎯 Requirements

• Bachelor’s degree in Finance, Economics, Mathematics, Actuarial Science, Statistics, or a related field. • At least 10 years of experience in underwriting or pricing within a health plan • Experience in healthcare, value-based care, or insurance industries, M&A and private equity are a plus. • Experience working in private equity-backed organizations. • Prior exposure building and presenting materials to boards and executives. • High proficiency in financial and analytical modeling • Advanced Excel and PowerPoint skills; experience with data visualization tools (e.g., Power BI) is a plus. • Understanding of financial statements, health care data, and performance management metrics. • Strong analytical mindset with intellectual curiosity and a passion for problem-solving. • Excellent attention to detail, an exceptionally high degree of initiative and adaptability, and the ability to multitask in a high-pressure environment with numerous conflicting deadlines. • Excellent verbal and written communication skills.