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You Belong At Blue
Why Join Us?
- Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
- Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
- Professional Growth Opportunities: Advance your career with ongoing training and development programs.
- Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
- Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
- Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.
Benefits & Perks
- Base compensation is only one component of your competitive Total Rewards package
- Incentive pay program (EPIP)
- Health/Vision/Dental insurance
- 6 weeks paid parental leave for new mothers and fathers
- Fertility/Adoption assistance
- 2 weeks paid caregiver leave
- 401(k) plan matching up to 5%
- Tuition reimbursement
- Health & fitness benefits, discounts and resources
Job Summary
The Supervisor, Underwriting, is responsible for overseeing the eligibility, enrollment, and risk evaluation processes for group and individual business. This role ensures compliance with underwriting guidelines, manages daily operations, and provides leadership to a team of Underwriting staff. The Supervisor collaborates with Sales, Rating, Actuarial, Membership, and other internal departments to support business growth while maintaining financial stability. Additionally, this position plays a key role in training, process improvement, and cross-functional communication to enhance underwriting efficiency and accuracy.
“This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.”
What you’ll do
- Supervise the daily operations of the Enrollment Risk area, ensuring accurate risk evaluation and underwriting decisions.
- Ensure compliance with underwriting eligibility and participation guidelines for group and individual business.
- Review and approve risk evaluations, ensuring appropriate documentation, follow-up, and decision-making on underwriting assessments.
- Partner with Sales, Rating, Actuarial, and Membership to clarify underwriting decisions and communicate eligibility methodologies to internal and external stakeholders.
- Oversee the testing and development of system enhancements, upgrades, and underwriting process improvements.
- Manage external and internal communications regarding risk evaluation, eligibility, and underwriting decisions.
- Provide training and ongoing education to Underwriting staff, Sales, and other departments to ensure consistency in underwriting policies and regulatory compliance.
- Maintain knowledge of federal and state underwriting regulations, including HIPAA, ACA, and other applicable compliance standards.
- Develop and implement workload management strategies, ensuring deadlines and department goals are met.
- Conduct quality control audits on underwriting decisions and risk assessments to ensure accuracy and consistency.
What you need
Education and Experience:
- High school diploma or equivalent required; Bachelor's degree preferred.
- Minimum of 5 years' experience in underwriting, group rating, actuarial, or risk adjustment, with a focus on eligibility, enrollment, and risk evaluation in the health insurance industry required.
- LPN, Certified Nurses Aid or Certified Medical Aid and/or experience coding medical records using ICD 9 or 10 methodologies preferred.
- Prior leadership, supervisory, and training experience preferred.
- Background in medical underwriting, insurance products, regulatory compliance, and training and onboarding for underwriting teams preferred.
Knowledge/Skills/Abilities
- Strong understanding of underwriting principles, eligibility guidelines, and risk assessment methodologies.
- Knowledge of medical terminology and ability to interpret health conditions for underwriting decisions.
- Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems.
- Excellent written and verbal communication skills, with the ability to explain complex underwriting decisions to non-technical audiences.
- Strong problem-solving and decision-making abilities in evaluating risk and compliance.
- Ability to manage multiple priorities, meet deadlines, and work efficiently in a team-oriented environment.
- Strong leadership and coaching skills, with experience in employee development and training.
- Knowledge of federal and state regulations impacting underwriting and enrollment, including ACA, HIPAA, and ERISA.
Compensation
$99,440 – $124,300
Exempt Grade 17
- Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
Our Commitment to Connection and Belonging
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.
Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.