Underwriter II

Marathon Health is a leading advanced primary care provider, partnering with employer and union plan sponsors to improve health for millions of Americans. With nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors. Marathon is proud to be certified as a Great Place to Work, reflecting the company's commitment to building an inclusive, high-trust culture where all employees can thrive. Learn more at marathon.healthABOUT THE JOBSupport sales with the analysis needed to understand the likely costs of clinics (with direction and guidance of finance and other functions) and the likely healthcare cost savings from clinics for each potential client through analysis of historical claims experience.This position will help the industry transform healthcare by helping the organization and clients understand the facts related to health care costs –made possible by a proven new approach to offering primary care services through employers. The ideal candidate will be energized by the opportunity to use information and insights to proactively identify opportunities to continuously improve the Marathon Health business model and demonstrate the value of the services provided.The person in this position will need to collaborate well on a cross-functional basis with multiple key stakeholders. This position will work collaboratively with finance, sales and operations to assist with pricing that will deliver an acceptable return for MarathonHealth and consider the client return on investment while being competitive. This position will also need to work closely with sales and operations to tailor the solutions and related costs/benefits to meet the needs of clients (individually and overall).OVERVIEWUnder the supervision and guidance of the Vice President and Senior Actuary, this position will assist in the development of new opportunity sales proposals.For each new prospective client or clinic this position will help develop a full summary of expected clinic costs.In addition, the person in this role will estimate likely savings from the clinic for each client. This savings estimate will be based on a detailed understanding of the client’s health care claims cost experience and Marathon Health’s ability to make an impact. The implications of this assessment will be included in initial presentations to the client.This position will work collaboratively with finance, sales and operations to recommend pricing that: achieves targeted levels of contribution margin, considers the client’s forecast ROI and are competitive in the marketplace.ESSENTIAL DUTIES & RESPONSIBILITIESWork with claims history and Marathon Health clinic experience to estimate likely clinic savingsThe Underwriter II will need to understand the medical claims history of each client and their performance in key categories relative to norms (primary care, urgent care, emergency rooms, etc.)This analysis would include the full range of medical claims and all potential segments including but not limited mental health, dental, physical therapy, etc.This position will recommend pricing that: achieves targeted levels of contribution, considers the client’s forecast ROI and competitionThe Underwriter II will develop pricing recommendations considering company margins, client expected ROI, and market competitionThe Underwriter II will deliver these recommendations to the Vice President and Senior Actuary for reviewQUALIFICATIONSBachelor’s Degree in Accounting/Finance/Math/Actuarial/Economics or related field plus 2 to 4 years’ experience in related work, or equivalent combination of education and experience. Must have strong analytical and quantitative skills including building cost/benefit models, data mining, and the ability to summarize the implications of findings. Understanding of medical diagnostic and procedure codes with the ability to organize large amounts of claims data using sound approaches and principles. Strong knowledge and experience with health insurance and claims data analyses; strong financial modeling experience.DESIRED ATTRIBUTESThe ability to work well with and proactively with cross-functional team members across the organization to gather information, request assistance when needed, and provide support when needed. The person in this position will need to collaborate well on a cross-functional basis with multiple key stakeholders.Strong communication skills and ability to work effectively cross-functionally with sales, operations, finance, etc.Notable experience with Microsoft Excel is requiredStrong communication skills and ability to work effectively cross-functionally with sales, operations, finance, etc.Strong organizational skills and ability to manage a large volume of email and telephone communication.Pay Range: $65,000 - $85,000/yrThe actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level.We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.Marathon Benefits SummaryWe believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week.Health and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire.Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance ProgramLifestyle: Paid time off for vacation, sick leave, and more, holiday schedule #J-18808-Ljbffr