Associate Director Pricing Underwriting DentaQuest
Associate Director Pricing Underwriting DentaQuest
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$ 108900 - 163400
1 Vacancy
Job Description
Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental vision disability absence management life supplemental health medical stoploss insurance and healthcare navigation. We have more than 6400 employees and associates in our partner dental practices and operate nationwide.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomesbased costeffective solutions are designed for Medicaid and CHIP Medicare Advantage small and large businesses and individuals. With a focus on prevention and value we aim to make quality care accessible to improve the oral health of all.
Job Description:
Sun Life embraces a hybrid work model that balances inoffice collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2to 3 days per week.
The opportunity:
Under the guidance of leadership The Associate Director Underwriting manages the pricing methodology for different business segments. This includes but is not limited to recommending and establishing Target Loss Ratios for different business segments and providing analysis and pricing recommendations to current and new product initiatives. The position also requires collaboration with other departments in support of pricing as well as coordinating and providing actuarial services to all business units. In addition to the risk management pricing and data analysis the position provides implementation of current business and new business to assure the benefits and rates that is sold is correct. The position entails management and development of direct reports to support the governance and objectives set forth by the organization.
How you will contribute:
Set pricing for Current and New Business in accordance with meeting target loss ratios and regulatory requirements.
Collaborate with Business Units and Core Operational Areas in providing financial risk analysis and underwriting services for clinical policy initiatives operational initiatives product initiatives as well as entry into new markets.
Support key initiatives by collaborating with business owners users and information technology operations. Meet business requirements for all business units by developing sound pricing in order to achieve the financial goals.
Collaborate with the Business Units and Core Operational areas in support of RFP/RFIs for existing client and prospect.
Manages regulatory requirements with the Insurance Regulators as needed
Manages requirements by internal and external auditors
Documents monitors and develops training materials and delivers training of departmental staff.
Coaches mentors and directs the development of the underwriting team to ensure high service quality and proficiency.
Providing pricing expertise in support of new marketing clinical and product initiatives
Collaborates with Product Teams in the design pricing and implementation of new products.
Fulfill all departmental projects and initiatives by coordinating and communicating with staff directors and executives.
Participation on ad hoc task forces and corporate projects and initiatives.
In alignment with strategic direction set by senior leadership supports the development and implementation of underwriting and actuarial plans to meet DQ strategic and business objectives.
Hires trains coaches counsels and evaluates performance of direct reports. Ensures regulatory and legal compliance within department.
Other duties as assigned.
What you will bring with you:
BA/BS degree.
10 years industry experience with a minimum of 5 years large group underwriting experience.
PC skills required MS Windows environment. MS Word Excel Access other database tools and automated underwriting system.
Comprehensive knowledge of the health insurance business and financials including but not limited to products operations risk assessments and financial performance metrics.
5 years management experience including hiring managing leading and developing staff.
Ability to accomplish goals through of business plans and underwriting strategies
Strong problem solving conflict resolution planning and organizing skills
Demonstrated sales negotiation communication and presentation skills
Facilitate internal activities: underwriting actuarial statistical claims accounting and contracts.
A selfstarter with good judgment integrity able to adapt to a fastpaced environment and multitask successfully.
Ability to manage multiple projects with changing priorities
Proven teacher coach mentor and change leader.
Thorough knowledge of the latest underwriting policies and procedures.
Excellent written and oral communication skills.
Required to attend additional training as requested/deemed necessary.
Salary Range: $108900 $163400
At our company we are committed to pay transparency and equity. The salary range for this role is competitive nationwide and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills qualifications experience education and geographic location. In addition to your base salary this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.
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We are committed to fostering an inclusive environment where all employees feel they belong are supported and empowered to thrive. We are dedicated to building teams with varied experiences backgrounds perspectives and ideas that benefit our colleagues clients and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.
Life is brighter when you work at Sun Life
At Sun Life we prioritize your wellbeing with comprehensive benefits including generous vacation and sick time marketleading paid family parental and adoption leave medical coverage company paid life and AD&D insurance disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match stock purchase options and an employerfunded retirement account. Enjoy a flexible inclusive and collaborative work environment that supports career growth. Were proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S. weve also been recognized as a Top 10 employer by the Boston Globes Top Places to Work for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.
We will make reasonable accommodations to the known physical or mental limitations of otherwisequalified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.
For applicants residing in California please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable state and local laws including applicable fair chance ordinances.
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran.
Job Category:
Posting End Date:
Required Experience:
Director
Employment Type
Full-Time
