Underwriting Manager - Dentaquest, Dental Insurance
DentaQuest Ventures, Inc. (Boston, Massachusetts)

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DentaQuest, a dental benefits management company, is one of the largest administrators of government dental benefits programs, in addition to providing a full range of commercial dental plans.

Headquartered in Boston, Massachusetts, DentaQuest has a Mid-Atlantic regional office that provides dental benefits in Maryland, Virginia, and the District of Columbia. We also provide dental benefits management services for Medicaid and Medicare Advantage through Doral, a DentaQuest company, which administers governmental dental programs in 22 states and the District of Columbia and is located in Mequon, Wisconsin. Overall, we serve over 12 million members nationwide.

 

JOB SUMMARY

To assure the overall financial success of the corporation by the management of personnel within the department with overall responsibility of account renewals, provider profiling methodologies, loss ratios, reserve funds, overall reserves and product portfolio.

           

JOB DUTIES AND RESPONSIBILITIES

Price and monitor all rates and provider reimbursement mechanisms for all products and networks across all regions.Select and develop all reporting employees by providing or facilitating appropriate training, coaching and evaluating consistent with the corporate objectives.Manage information technology and data user needs particularly through decision support tools and analysis.Set and manage the overall target loss ratio and refund liability by plan, product and network for all regions.Ensures consistency with market trends, legal and regulatory requirements for all products by reviewing, establishing and monitoring underwriting guidelines for all regions.Meets legal requirements by filing all proper filings with the Division of Insurance including benefit and rating filings. Testifies on behalf of the organization at all public hearings.Present and sell large and special account pricing for all regions.Set the overall strategy and direction of the organization through leadership of initiatives, projects and participation in the leadership group.Other duties as assigned.

 

JOB REQUIREMENTS

BA required.7 years experience in similar or related capacity.2 years managerial experience.Experience in managed care, multi-product financial/underwriting environment.Strong written and oral communications skills.Strong negotiation and conflict management skills.Strong technical (statistical analysis, etc) skills.Highly organized, ability to track multiple projects and processes simultaneously.

 

PHYSICAL AND ENVIRONMENTAL CONDITIONS

Should be able to function in a traditional office setting.Should be able to operate personal and other forms of computer equipment in a speedy an efficient manner.Should be able to prepare and present the results of analysis (materials, reports, etc) to variety of audiences both inside the company as well as outside.