[Hiring] Underwriter II @Marathon Health

Role Description

Support sales with the analysis needed to understand the likely costs of clinics (with direction and guidance of finance and other functions) and the likely healthcare cost savings from clinics for each potential client through analysis of historical claims experience. This position will help the industry transform healthcare by helping the organization and clients understand the facts related to healthcare costs – made possible by a proven new approach to offering primary care services through employers.

• The ideal candidate will be energized by the opportunity to use information and insights to proactively identify opportunities to continuously improve the Marathon Health business model and demonstrate the value of the services provided.
• The person in this position will need to collaborate well on a cross-functional basis with multiple key stakeholders.
• This position will work collaboratively with finance, sales, and operations to assist with pricing that will deliver an acceptable return for Marathon Health and consider the client return on investment while being competitive.
• This position will also need to work closely with sales and operations to tailor the solutions and related costs/benefits to meet the needs of clients (individually and overall).

Qualifications

• Bachelor’s Degree in Accounting/Finance/Math/Actuarial/Economics or related field plus 2 to 4 years’ experience in related work, or equivalent combination of education and experience.
• Must have strong analytical and quantitative skills including building cost/benefit models, data mining, and the ability to summarize the implications of findings.
• Understanding of medical diagnostic and procedure codes with the ability to organize large amounts of claims data using sound approaches and principles.
• Strong knowledge and experience with health insurance and claims data analyses; strong financial modeling experience.

Requirements

• Work with claims history and Marathon Health clinic experience to estimate likely clinic savings.
• The Underwriter III will need to understand the medical claims history of each client and their performance in key categories relative to norms (primary care, urgent care, emergency rooms, etc.).
• This analysis would include the full range of medical claims and all potential segments including but not limited to mental health, dental, physical therapy, etc.
• This position will recommend pricing that achieves targeted levels of contribution, considers the client’s forecast ROI, and competition.
• The Underwriter III will develop pricing recommendations considering company margins, client expected ROI, and market competition.
• The Underwriter III will deliver these recommendations to the Vice President and Senior Actuary for review.

Benefits

• Free Marathon membership for in-person and virtual care.
• Employer paid life and disability insurance.
• Choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident, and hospitalization plans. Benefits are effective on the first of the month following date of hire.
• Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program.
• Paid time off for vacation, sick leave, and more, holiday schedule.

Company Description

Marathon Health is a leading advanced primary care provider, partnering with employer and union plan sponsors to improve health for millions of Americans. With nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors. Marathon is proud to be certified as a Great Place to Work®, reflecting the company's commitment to building an inclusive, high-trust culture where all employees can thrive.