Aetna Director, Medical Underwriting in Hartford, Connecticut
Req ID: 37886BR
Be part of our mission to change the health care system and help people live healthier lives, our National Accounts Medical Underwriting team has an opening for a passionate, strategic leader, as a Director, Medical Underwriting. The successful candidate will lead an Underwriting team in support of stated mission and achievement of key performance measures based on regional/segment responsibilities. In addition, will proactively manage a book of business, balancing membership, revenue growth and profitability objectives; lead negotiations on complex/high profile cases. Adheres to and takes an active role in improving workflow processes and underwriting guidelines. Will work cross-functionally with other business segments.
· Supervises an underwriting team in support of stated mission and key performance metrics.· Develops strong unity through dynamic supervision and sharing of expertise. · Manages workflow within unit and directs changing priorities. Identifies staffing needs and/or training issues. · Leads process improvement initiatives to increase productivity, accuracy, and/or customer service and influences tool development. · Provides superior customer service and helps develop service excellence skills for the team.· Understands, applies and explains company services, product standards, underwriting policies, strategic direction and new initiatives. · Reviews and approves requests for underwriting exceptions and financial variances within prescribed limit. · May participate in customer meetings. Works across Aetna's segments/markets to achieve goals. Utilizes knowledge of competition and competitive position to evaluate risk and maximize profitability. · Negotiates and explains pricing and application of underwriting policy. · Helps set case and market strategy. · Ensures that timely actions and deliverables are met by team. · Coaches others to maximize performance and is responsible for performance development and review. · Builds strong cross-functional relationships with sales force and other internal organizations.· Extensive pricing experience via all types of pricing methodologies and funding arrangements with knowledge of the Aetna systems supporting those products and rating methodologies.
BACKGROUND/EXPERIENCE desired:· 5+ years of financial/medical underwriting experience with extensive insurance industry knowledge. · Several years of previous experience managing a staff.· Proven leadership skills and strong cross-functional relationships with sales force and other internal organizations. · Proven ability to anticipate customer needs and negotiate with customers using tact and diplomacy.· Experience in both New and Renewal business underwriting strongly preferred.· Experience using Microsoft Office programs is required. EDUCATION
The highest level of education desired for candidates in this position is a Bachelor's degree.
Functional - Underwriting/Renewal - group medical/7-10 Years
Functional - Underwriting/New business - group medical/7-10 Years
Functional - Underwriting/Management: < 25 employees/4-6 Years
Functional - Underwriting/Pricing methodologies (manual, experience, blended, alternate, etc.)/4-6 Years
Functional - Sales & Service/Strategy development/4-6 Years
Technical - Desktop Tools/TE Microsoft Excel/4-6 Years/End User
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
Finance/Creating Profitable Customers/MASTERY
Finance/Managing Aetnas Risk/MASTERY
Leadership/Engaging and Developing People/MASTERY
General Business/Communicating for Impact/MASTERY
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Underwriting