The Actuarial Director identifies, evaluates and responds to financial risks inherent in the pricing and development of health insurance products. Key focus will be with advancing Cost of Care strategies with data and technology.
Prepares and interprets data and related formulae.
Monitors trend of profit and profitability by line of business and/or product.
Serves on major, multi-function projects as Actuarial representative.
Organizes and directs the staffing and work flow of the section.
Requires a BA/BS degree and minimum of 6 years related experience; or any combination of education and experience, which would provide an equivalent background.
FSA required from the Society of Actuaries (SOA).
Candidate should possess a blend of traditional actuarial skills and modern data-centric and technological competencies.
Strong ability to work with complex data sets, identify patterns, and interpret results to inform decision-making.
Familiarity with programming languages such as Python, R, or SAS for data analysis and model development.
Understanding of machine learning algorithms and AI concepts to enhance predictive modeling and automation.
Experience with data management systems and databases, including SQL, to organize and retrieve large volumes of data.
Knowledge of software and tools, along with awareness of new technologies and how they can impact actuarial practices.
Strong analytical mindset to approach complex problems methodically and develop sound solutions.
Ability to effectively communicate complex data findings and model results to non-technical stakeholders.
Willingness to keep up-to-date with emerging technologies, new data methodologies, and changes in related regulations.