Actuary

MedicaMinnetonka, MN
Hybrid

About The Position

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Requirements

  • Bachelor’s degree or equivalent experience in related field
  • 7 years of work experience beyond degree
  • FSA achieved or demonstrated performance over multiple years under the supervision of a qualified actuary
  • Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

Nice To Haves

  • Health insurance actuarial experience with familiarity across multiple products
  • Experience in reserving methodologies and processes, including IBNR development, variance analysis, and reserve adequacy assessments
  • Experience supporting statutory reporting, actuarial opinions, and financial audits
  • Strong understanding of drivers of medical cost trends and financial performance
  • Proficiency in Excel and experience in SAS or SQL is also preferred
  • Strong problem-solving skills and attention to detail
  • Ability to balance several projects and deadlines at once

Responsibilities

  • Analyze and evaluate the likelihood of future events in order to reduce and manage future risks.
  • Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools.
  • Perform rate level pricing functions and prepare monitoring reports on program or product pricing.
  • Measure historical relationships to develop forecasts and identify trends.
  • Performs other duties as assigned.
  • Develop and monitor monthly fee-for-service claims projections.
  • Produce monthly variance reporting against budget and forecast, including key drivers.
  • Support the preparation of annual statement actuarial opinions and memoranda.
  • Provide actuarial support for financial audits.
  • Maintain a strong working knowledge of actuarial data and available technology tools.
  • Produce accurate, timely actuarial reports and exhibits.

Benefits

  • competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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