About The Position

Supports the daily operations associated with the Health Plan’s Actuarial Department. Assists in the development of rate filings, trend analysis, revenue strategy, forecasting, reserving, data management and analytics. Monitors the impact of strategic initiatives, regulatory reforms and legislation, and communicates effectively with peers and leadership

Requirements

  • Bachelor's Degree- (Required)
  • Minimum of 5 years-Related work experience (Required)
  • Member of Society of Actuaries - Society of Actuaries
  • Actuarial Function
  • Insurance Finance And Actuarial Concepts
  • Insurance Industry
  • Mathematical Finance
  • Probability
  • Statistics And Actuarial Modeling

Responsibilities

  • Performs the pricing of products, including but not limited to building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing.
  • Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation.
  • Supports the development of claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions.
  • Guides the forecasting, analytic, underwriting, and performance monitoring functions. This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks.
  • Supports data management by providing direction and oversight to IT teams for appropriate data aggregation, partitioning, and extract rules to meet analytic and reporting needs.
  • Provides guidance and support to upcoming actuarial talent.
  • Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
  • The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Benefits

  • We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
  • Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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