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Company Overview

Visionworks (formerly Eye Care Centers of America, Inc.) is a leading provider of eye care services with more than 590 optical retail stores in 40 states and the District of Columbia through 5 store names that are leaders in eye care service in each of their respective markets. Visionworks is committed to providing our customers with an excellent shopping experience and high quality products and service with the best value and selection in the industry. All of our stores offer designer and exclusive brand frames, lenses, sunglasses and accessories along with leading technology in vision correction. Our comprehensive service offerings include contact lens dispensing, in-store labs which provide one-hour service on many prescriptions at nearly all locations and doctors of optometry at or next to every store. Visionworks is a wholly owned subsidiary of HVHC, Inc.

Learn More about HVHC & Visionworks
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Analyst, Underwriting (Managed Care)
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Job Description

Analyst, Underwriting & Report

Summary:
Transform claim data into information that can be used to assess and improve business operations.
Responsible for analysis of group profitability and production cost analysis.      
Essential Responsibilities:
1.     Preparation of the quarterly profit and loss reporting by client.
2.     Prepare trend analysis and cost projections as requested.
3.     Maintain the actuarial datamart (Sagent) and produce reports to be used for contract negotiations and business decisions for HVHC enterprise, Provider network and Managed Care customers.
4.     Review and prepare non-standard or exceptional client utilization analysis – calculating expected income vs. actual premiums paid for major clients.
5.     Provide analytical support to Finance, Client Management and other DV or HVHC Associates to meet monthly financial reporting deadlines, client requests for non-standard reports, justification for rate increases, and cost projections or forecasts on an ad hoc basis.
6.     Create vertical market reports, a.k.a. Client Reference Guide and monitor trends in claim usage to support pricing program and fully insured rate development.
7.     Develop and maintain monthly reports for contractual obligations with Providers and/or Managed Care clients.
8.     Develop and maintain a detailed understanding of the data elements, data definitions and data relationships used in required business analysis and report development.
9.     Responsible for development and provide support of renewal rates as well as RFP responses and documentation to support both for umbrella relationships.
10. Assist with underwriting of capitated rates as needed.
11. Prepare COBRA rates for self-insured upon request.



Job Requirements

•         Bachelors Degree required in business or related field
Experience & Background:

•         Minimum of 3 years of accounting, finance or underwriting experience

•         Strong analystical skills, independent decision maker

•         Actuarial and/or cost accounting for Healthcare company preferred

•         Proficiency with Microsoft Excel
Language Skills:
 
Mathematical Skills:
 
Reasoning Ability
 
Physical Demands/Work Environment:
Normal office environment. The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the associate is required to sit, use hands to finger, handle or feel, and talk or hear most of the time. The associate is occasionally required to stand, walk, and reach with hands and arms.   The associate must occasionally lift and/or move up to 10 pounds. Close vision (clear vision at 20 inches or less).
 
Activity
Amount of Time
 
None
Under 1/3
1/3 to 2/3
Over 2/3
Stand
 
x
 
 
Walk
 
x
 
 
Sit
 
 
 
x
Use hands to finger, handle, or feel
 
 
 
x
Reach with Hands and Arms
 
x
 
 
Climb or balance
 
x
 
 
Stoop, kneel, crouch, or crawl
 
x
 
 
Talk or hear
 
 
 
x
 
 
 
 
 
 
 
Behavioral Characteristics:

•         Detail oriented with exceptional accounting, analytical and organizational skills.

•         Proactive and Team player with “Whatever it Takes” attitude.

•         Strong interpersonal skills with the ability to handle inquiries as well as respond to situations appropriately and timely.

•         Able to handle multiple tasks and prioritize.

In addition to a competitive compensation, we are an EOE AA M/F/Vet/Disability. We provide a drug/smoke free environment. Please visit our website www.visionemployment.com to apply.
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