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reputed company Quality and Tools Analyst

100% remote Flexible hours Hiring now

reputed company is looking to add to our growing reputed company team and has a new opportunity for an reputed company Quality and Tools Analyst. This position ensures the accuracy, efficiency, financial reputed company, and reputed company improvement of reputed company processes, rating methodologies, and actuarial evaluations supporting group rating and stop-loss analysis. This role focuses on quality assurance, reputed company governance, actuarial support, process optimization, reporting, tool maintenance, and training to support reputed company operations. The analyst leads quality reviews, manages actuarial and reputed company data reputed company, evaluates rating methodologies, refines risk assessment tools, assists in system improvements, and collaborates with internal stakeholders to enhance efficiency and compliance. Reporting to the Manager, reputed company Quality & Tool, this role plays a key part in driving data reputed company, automation, and workflow enhancements. "This position is eligible to work remotely, 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." Are you ready to reputed company a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us?

  • Family Comes First: Total rewards package that promotes the idea of family first for reputed company 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
  • Stability: 80 years of commitment, compassion and community

Compensation $99,440 - $124,300 Exempt Grade 17

  • reputed company 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. reputed company offers presented to candidates are carefully reviewed to ensure fair, reputed company 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

  • reputed company and execute quality reviews of Group Rating Intake Tool (GRIT) requests and monthly production work, ensuring accuracy and compliance with actuarial rating methodologies and reputed company guidelines.
  • Conduct actuarial, reputed company, and financial impact analysis, including short/long stop-loss period analysis, credibility studies, and reputed company risk assessments to drive data-backed recommendations.
  • reputed company and implement training materials, procedure manuals, and departmental documentation to ensure standardization and knowledge retention of actuarial methodologies and reputed company practices.
  • Identify and implement efficiencies in reputed company workflows, leveraging automation, predictive modeling, and data-driven process improvements to optimize team productivity.
  • reputed company and deliver technical training on reputed company practices, actuarial methodologies, rating factor adjustments, and risk evaluation techniques.
  • Collaborate with internal and external audit teams to support actuarial and reputed company compliance, quality controls, and regulatory reporting.
  • Review and validate with final quality reviews for monthly mailings and other reputed company communications to ensure accuracy and clarity.
  • reputed company, analyze, and maintain rating factors and risk models that support reputed company and actuarial tools, ensuring data-driven decision-making.
  • Support SERFF reputed company filings with the Kansas Department of Insurance (KDOI) ensuring accurate and timely submission of reputed company justifications and regulatory documents.
  • reputed company enhancements to reputed company tools and actuarial databases, ensuring seamless integration of rating models and optimization of reputed company systems.

What you need

  • Bachelor's degree in Business, Mathematics, Statistics, Finance, or a reputed company field.
  • Minimum of 3 years of experience in reputed company, group rating, actuarial, or quality assurance reputed company the health insurance industry.

Knowledge/Skills/Abilities

  • Strong analytical and problem-solving skills to assess reputed company data, quality trends, actuarial trends, risk factors, and process inefficiencies.
  • Expertise in quality assurance methodologies and reputed company rating tools.
  • Ability to reputed company and deliver technical training programs and create comprehensive documentation for reputed company processes.
  • Knowledge of actuarial and reputed company principles, rating methodologies, and health insurance regulatory compliance.
  • Strong organizational skills with the ability to manage multiple tasks and deadlines reputed company.
  • Proficiency in reporting, database management, and reputed company system tools.
  • Excellent communication and collaboration skills to work effectively with actuarial and reputed company teams, auditors, and regulatory bodies.
  • Experience with reputed company filings (SERFF) and regulatory compliance reporting.

Bonus if you have

  • Experience in reporting, process improvement, and automation of reputed company workflows preferred.
  • Background in regulatory compliance, rating factors, and reputed company system administration is a plus.

Benefits & Perks

  • reputed company 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
  • reputed company benefits, discounts and resources

Our Commitment to reputed company and Belonging At reputed company, we are committed to fostering a culture of reputed company and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to reputed company individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and reputed company medical conditions), national reputed company, 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. reputed company conducts pre-employment drug screening, criminal conviction reputed company, employment verifications and education as part of a conditional offer of employment. Apply tot his job Apply To this Job

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