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Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
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Advanced knowledge of SAS, R, or Stata. Doctorate in analytics, health services research, epidemiology, statistics, or biostatistics. This position will act as the lead statistician for multiple projects with any level of complexity and will be the primary contact with the sponsor for all biostatistics related activities on assigned projects.
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Master's degree in analytics, health services research, epidemiology, or biostatistics with 3 years of Statistical Analysis - OR- Bachelor's degree in analytics, health services research, epidemiology, or biostatistics with 6 years of Statistical Analysis -OR.
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In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
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Ability to apply knowledge of advanced statistical design, analysis, and programming techniques utilized in clinical research and to effectively communicate statistical concepts. Serves as an enterprise resource for complex statistical questions, study design considerations, and protocol development.
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Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. Writes and reviews statistical analysis plans (SAPs) based on the protocol, including development of well-presented mock-up displays for tables, listings, and figures.
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Conducts and participates in review and quality control of project deliverables, ensuring that output meets expectations and is consistent with analysis described in SAP. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity.
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Serves as a SME in methods development for the team. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
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Monitor and remediate regulatory compliance standards and develop tools and processes geared toward inter-rater reliability to promote consistent and appropriate utilization management decisions. The physician team must ensure compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for ensuring that those measures are met.
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Certification in or equivalent training in CPCU or other industry recognized certification (CIC, ARM, etc.) This role is supporting our Captive Stop Loss product, we are looking for someone who has 3-7 years of captive experience and 7 years of stop loss experience.
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Assesses group insurance risk on a pre-and post-sale basis in order to close new sale and/or renewal accounts and must have effective communication skills to present underwriting details of each account to brokers and/or clients.
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Demonstrated knowledge of standard underwriting guidelines and effective assessment of experience, risk and plan design of group insurance accounts. 5 years of experience in underwriting group insurance or other relevant experience.
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The incumbent rates, underwrites and monitors performance of group insurance accounts within the confines of underwriting guidelines, sales, profit, and persistency targets. Market and underwrite group insurance in a given territory, within the assigned sales targets, to generate new customers/new business premium, as well as maintain existing business in order to generate and grow a profitable book of business.
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Demonstrated quantitative skills and comprehensive understanding of underwriting policy, procedures, rating methodology and actuarial techniques. This job maintains existing business, generates new business, and grows a profitable book of business which has been underwritten in the group insurance market.
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Company: Highmark Health in Windsor-mill, Maryland
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