What are the responsibilities and job description for the Vice President of Underwriting position at Blue Cross Blue Shield of Massachusetts?
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The Organization
At Blue Cross Blue Shield of Massachusetts ( www.bluecrossma.com ), our mission is to show up for everyone like they are the only one . As a not-for-profit health plan, our 4,000 associates deliver on that mission every day – guiding members to the exceptional care they deserve – affordably, equitably, and seamlessly.
Our vibrant culture is built on five core values : be the example, be kind, be curious, be courageous, and be community focused – everyday. We see these values reflected in our diversity, equity, inclusion and belonging work, a vital part of our culture and our strategy. We are a driving force in creating an inclusive environment where all associates feel valued, respected and empowered across all levels of the organization to contribute their unique perspectives.
The Role
Reporting directly to the Chief Financial Officer, a member of the Company’s executive leadership team, our Vice President of Underwriting will lead and oversee the underwriting function, ensuring strategic alignment with business goals and risk management objectives. The successful candidate will be a results-oriented leader who can effectively lead underwriting teams to strategically support and manage risk effectively, develop and maintain underwriting guidelines, policies and procedures, and establish pricing models and methodologies based on risk assessment and market conditions.
This role requires a dynamic leader with proven expertise in underwriting strategy, team leadership and collaboration across organizational levels.
Key accountabilities for the role include :
- Lead and oversee the underwriting process for individual and group health plans
- Review complex medical applications, analyzing medical history, and assessing risk factors to determine coverage eligibility and premium levels
- Ensure adherence to all state and federal regulation requirements regarding health insurance underwriting
- Conduct and monitor audits to maintain underwriting quality and accuracy
- Monitor industry trends and adapt underwriting practices to evolving regulations
- Identify and address potential compliance issues
- Partner closely with actuarial teams to assess risk and establish competitive pricing
- Collaborate with sales teams to provide underwriting support that addresses customer needs and supports growth initiatives
- Communicate underwriting decisions effectively to brokers and policyholders
Education & Qualifications
Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employer / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any characteristics protected by law.
Location : Boston
Time Type : Full time
Salary Range : $292,611.81 - $366,960.00
This job is also eligible for variable pay.
We offer a comprehensive package of benefits including paid time off, medical / dental / vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates from coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA.
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Salary : $292,612 - $366,960
