Actuary (Health)

Immediate Office of the Assistant Secretary for Management • Washington, DC

4d • Onsite

About The Position

This position is in the Office of Management, Office of Actuarial Services. Under the direction of the Executive Director of Actuarial Services (VA’s Chief Actuary), the role supports transparent and accountable reporting of actuarial benefit liabilities in VA’s audited financial statements. The Office of Actuarial Services develops, monitors, and updates actuarial models for this purpose.

The position updates monthly health claims data models for incurred but not reported (IBNR) claims and monthly incurred health claims forecast models. It analyzes health claims and referral data to identify trend drivers, technically reviews other actuaries’ work (which may include running an alternative model), and prepares or updates reports and other documents for management and auditors.

The work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Situational telework may be available under agency policy; this is not a virtual position. The work is sedentary, though some tasks may involve walking, standing, bending, or driving. Employees frequently carry research records and similar materials; no special physical effort is required. Relocation or recruitment incentives are authorized for highly qualified candidates. The selectee may be promoted to the full performance level without further competition if regulatory, qualification, and performance requirements are met.

Requirements

• Must be a U.S. citizen.
• Must hold an Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential, evidenced by an official transcript and certificate or presence in The Actuarial Directory.
• Must have at least five years of relevant health actuarial experience at GS-13 or eight years at GS-14.
• For GS-13, must meet the applicable actuarial education and experience requirements, including one year of actuarial experience equivalent to GS-12, or qualifying alternate provisions. The education route requires at least 24 semester hours in specified quantitative or business fields, including at least 12 semester hours of mathematics covering differential and integral calculus and a course for which calculus is a prerequisite.
• For GS-14, must meet the applicable actuarial education and experience requirements, including one year of actuarial experience equivalent to GS-13. The education route requires at least 24 semester hours in specified quantitative or business fields, including at least 12 semester hours of mathematics covering differential and integral calculus and a course for which calculus is a prerequisite.
• GS-13 specialized experience includes assisting with actuarial models for medical claims liabilities, IBNR reserves, forecasts, and benefit liabilities; analyzing healthcare claims and enrollment data for trend components; applying actuarial methods to valuations, assumption studies, actual-to-expected analyses, or liability calculations; using analytical software to extract, validate, and analyze data; and preparing actuarial reports, documentation, or presentations.
• GS-14 specialized experience includes independently developing, maintaining, and enhancing actuarial models; analyzing healthcare program data and trend components; using health risk-adjustment methodologies; technically reviewing actuarial models, analyses, and code for standards, federal financial requirements, and documentation controls; and preparing complex analyses and presenting financial impacts and recommendations.
• Must complete all required application steps, including an online assessment.
• Selective Service registration is required for males born after December 31, 1959.
• May be required to serve a probationary period and undergo a background/security investigation.
• Selected applicants must complete online onboarding and provide acceptable identification for pre-employment requirements.

Responsibilities

• Update monthly health claims data models for incurred but not reported (IBNR) claims.
• Update monthly incurred health claims forecast models.
• Analyze large amounts of health claims and referral data to identify trend drivers.
• Provide technical review of other actuaries’ work, which may include running an alternative model.
• Prepare or update reports and other documents for management and auditors.

Benefits

• Federal employees and their families have access to a comprehensive benefits package.
• VA may grant newly appointed federal employees credit for qualifying non-federal job-related experience or active-duty uniformed military service when determining annual leave accrual; approval is required and not guaranteed.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior