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Group Rating Operations Analyst

Group Rating Operations Analyst

Blue Cross and Blue Shield of KansasTopeka, KS, US
30+ days ago
Job type
  • Full-time
Job description

Group Rating Operations Analyst

Blue Cross and Blue Shield of Kansas is looking to add to our Underwriting team and has a new opportunity for a Group Rating Operations Analyst. This position is responsible for optimizing and streamlining rating processes, including reporting, exhibit updates, activity tracking, concession analysis, and bid math. This role ensures accurate monitoring of rating activities, provides data-driven insights to support pricing decisions, and enhances automation efforts. The analyst collaborates with the Manager, Group Rating, and key stakeholders in Sales, Actuarial, and Underwriting to drive process improvements and improve the efficiency and effectiveness of rating operations.

This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy.

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.
  • Professional Growth Opportunities : Advance your career with ongoing training and development programs.
  • Dynamic Work Environment : Collaborate with a team of passionate and driven individuals.
  • Trust : Work for one of the most trusted companies in Kansas

Compensation : $96,800 - $115,000 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.

What you'll do :

  • Develop and maintain a rating activity tracker to monitor and prioritize rating tasks, ensuring workflow efficiency and structured communication with Sales.
  • Oversee exhibit updates and reporting processes, ensuring accuracy and consistency in financial and rating presentations.
  • Conduct concession analysis, tracking trends and providing actionable insights to Sales for pricing adjustments and strategy refinement.
  • Provide bid math analytics to Sales, supporting employer group pricing decisions with relevant data and scenario modeling.
  • Collaborate with Quality & Tools to support automation initiatives, reducing manual reporting and streamlining rating workflows.
  • Ensure structured communication between Group Rating, Underwriting, and Sales to improve transparency and alignment on rating decisions.
  • Assist in developing and maintaining training materials to enhance knowledge-sharing and upskill team members in rating methodologies.
  • Support compliance with federal and state regulations, including ERISA and ACA, by ensuring rating activities align with regulatory standards.
  • Identify and implement process improvements to enhance operational efficiency, reporting accuracy, and decision support within Group Rating.
  • Assist with system testing and enhancements for rating automation and reporting tools, working closely with IT and system administrators.
  • What you need :

  • Bachelor's degree in Business, Mathematics, Statistics, Finance, or a related field.
  • Minimum of 4 years of experience in group rating, underwriting, actuarial, or a related operational role in the health insurance industry.
  • Knowledge / Skills / Abilities :

  • Strong analytical and problem-solving skills to track rating activities, analyze concessions, and support bid math calculations.
  • Experience with rating methodologies, underwriting principles, and financial analysis related to employer group pricing.
  • Ability to create, manage, and optimize tracking tools and reporting solutions for rating processes.
  • Excellent communication and collaboration skills to facilitate coordination between Sales, Actuarial, and Underwriting.
  • Proficiency in data management tools, reporting software, and automation solutions.
  • Strong organizational skills to manage multiple projects, prioritize tasks, and meet deadlines.
  • Knowledge of regulatory compliance related to group rating, including ERISA and ACA.
  • Ability to identify process inefficiencies and develop innovative solutions to improve workflow.
  • Bonus if you have :

  • Experience with data tracking, process automation, and reporting tools preferred.
  • Background in sales support, rating methodologies, or health insurance pricing is a plus.
  • 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
  • 5% 401(k) plan matching
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources
  • 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.

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