Director, Underwriting/Pricing - Remote, Certified Actuary (FSA/ASA)

Magellan Health

1d • $117,860 - $200,360 • Remote

About The Position

Responsible for the development and underwriting of new product financial and programmatic cost models as well as working with the existing models and customers on product enhancements and modifications. This position will work with the strategic business units within the company as well as various departments including the Finance department. This position will report to the VP, Underwriting and will partner with the VP, Underwriting by preparing analyses and various ad-hoc projects for executive management. Develops, documents, and applies, where appropriate, underwriting procedures, analytical approach, and requisite tools for new products and product enhancements, working with all required departments to ensure comprehensive development and evaluation of new products. Reviews utilization, cost trends, and other assumptions that are used in pricing models to ensure accurate interpretation of data. Evaluates cost impact of new product initiatives and assess risk associated with each. Directs, oversees, and coordinates with the Manager, Underwriting to ensure that appropriate underwriting procedures are applied to new and existing business and that responses are timely. Provides recommendations on product and customer rates to review, discuss and send to senior management team for approval. Analyzes claims detail data from multiple in-house claims processing systems, as well as analyzing external claims data in various formats, and complete financial requirements for RFPs (Request for Proposals) and renewals to provide the sales and marketing teams. Interacts with clients/customers and internal staff to resolve issues related to information provided and request for proposal language and response expectations. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• ASA or FSA Required
• Knowledge of underwriting principles in a managed care environment.
• Excellent written and communication skills.
• Ability to self-start and work independently.
• Good analytical, reasoning and problem solving skills.
• Strong organizational skills and must be able to adhere to strict deadlines.
• Willingness to learn new product lines and adapt to changing environment.
• Strong working knowledge Microsoft Office Product suite, specifically Excel, and experience with managing large data sets with tools such as MS Access.
• Actuarial pricing experience required.
• Bachelor's degree

Nice To Haves

• Master's degree

Responsibilities

• Development and underwriting of new product financial and programmatic cost models.
• Working with existing models and customers on product enhancements and modifications.
• Working with strategic business units and various departments, including Finance.
• Preparing analyses and ad-hoc projects for executive management.
• Developing, documenting, and applying underwriting procedures, analytical approach, and requisite tools for new products and product enhancements.
• Reviewing utilization, cost trends, and other assumptions used in pricing models.
• Evaluating the cost impact of new product initiatives and assessing associated risks.
• Directing, overseeing, and coordinating with the Manager, Underwriting to ensure appropriate underwriting procedures are applied.
• Providing recommendations on product and customer rates for senior management approval.
• Analyzing claims detail data from multiple in-house and external sources.
• Completing financial requirements for RFPs and renewals.
• Interacting with clients/customers and internal staff to resolve issues related to information provided and RFP language and response expectations.

Benefits

• Short-term incentives
• Comprehensive benefits package
• Health benefits
• Life benefits
• Voluntary benefits
• Other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

What This Job Offers

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