Actuarial and Underwriting Director

HealthPartnersBloomington, MN
60d

About The Position

HealthPartners is hiring a Director of Actuary and Underwriting. This role is responsible for: Managing the design and development of methods for extracting data for actuarial reporting and analysis, underwriting applications, and regulatory reporting Operations of the Actuarial & Underwriting team including self-insured billing, discount analysis and UDS support, legal data requests, and overseeing the production and analysis of standard and customized reports and data for employer groups, and Reinsurance - requires an in-depth understanding of the organizations’ data and systems along with in depth knowledge of the business of health care insurance (both government programs and commercial). Hire, train, and coach a staff of programmers and data analysts with a high level of technical skills.

Requirements

  • Bachelor’s degree in Business Administration, Mathematics, Statistics, Management Information Systems, Computer Science or related field.
  • Ten years’ managed care experience with direct experience in employer reporting, reinsurance, informatics, statistics or related experience.
  • Eight years’ previous management experience.
  • Prior experience in the development and implementation of complete data sets and interpretation methods to produce actionable information.
  • Thorough knowledge of current healthcare business, insurance risk management, software technology, database, query languages, and end-user software.
  • Excellent analytical and problem-solving skills.
  • Excellent oral and written communication skills.
  • Excellent organizational skills and detail oriented.
  • Strong computer skills and programming skills including Microsoft or related applications (Word/Excel) and programming experience.
  • Excellent interpersonal skills.
  • Excellent presentation skills.

Nice To Haves

  • Experience with data operations and data science.
  • Relevant health plan or health insurance experience. Experience with actuarial science and/or health underwriting.
  • Master’s degree in Business or experience in Actuarial Science, Accounting, Statistics, Information Technology or related field.
  • Experience in MS Azure/Cloud data source.
  • Advanced data modeling and AI.

Responsibilities

  • Team leadership, management and development of human capital.
  • Project management of major team deliverables. This includes standard cadence deliverables as well as support for major implementations of data assets, technology and process changes. Data assets supporting Actuarial and Underwriting processes must be built in compliance with related Actuarial Standards of Practice.
  • Decision making regarding insurance risk situations such as stop loss management and billing, data and reporting releases to brokers and client groups, etc.
  • Collaborate closely with Data Ops, Informatics, Sales & Account Management, Operations Areas, Legal, Compliance, etc.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service