Lead Actuary / Senior Lead Actuary

Texicare•Austin, TX

52d•Hybrid

About The Position

We are seeking a Lead Actuary to join our team located in Austin, Texas. You will report to the CFO and will be responsible for supporting company strategy and managing actuarial expertise and tools in coordination with others to deliver key membership and financial results for Texicare. You should have expertise and proven success in various actuarial methodologies applicable to self-funding, level-funding, employer stop-loss, and fully insured products. You will interact directly and partner routinely with Product, Underwriting and Finance, as well as work in conjunction with third parties including: MGU, TPA, consultant actuaries and network partners. You will benefit from this experience by: Launching new Health Insurance products in the Texas market Playing a key role in building out our data analytics capabilities to help meet our business unit’s initiatives Gaining experience developing strategies for growth and profitability Being part of a forward-thinking, mission, and values driven Health Insurance carrier Working in a continuous performance feedback environment that will challenge you while allowing you to challenge others This hybrid position is based in Austin, TX. Preference will be given to Texas based candidates, but we are open to interviewing out-of-state candidates. Occasional travel within and outside Texas may be required based on the needs of the business. Periodic travel to company headquarters is expected.

Requirements

A bachelor’s degree or any equivalent combination of education, training, and experience.
At least 8 years of actuarial experience in a healthcare setting or any equivalent combination of education, training, and experience.
Exceptional ability to communicate (oral, written, presentation) complex actuarial concepts and engage with various stakeholders, including health plan partners, other leaders and board of directors
Strong skills in collaborative working environment
Self-starter with an innate desire to learn and the ability to thrive in a dynamic fast-paced start-up environment with competing priorities and deadlines with the strong backing of an established company
Experience leading negotiations for multi-million-dollar contracts
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Strong analytical, quantitative, problem-solving, and business skills to extract implicit, unstated, and unrecognized requirements

Nice To Haves

Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA) preferred
Experience with Tableau, statistical analysis and predictive modeling in healthcare contexts

Responsibilities

Monitoring claims trends and investigating aberrations
On-going analysis and monitoring of utilization trends
Analyzing data and communicating results in data visualizations, dashboards, and reports for a wide variety of audiences
Support Health Plan budgeting, forecasting, and strategic planning activities in partnership with the Enterprise
Strategy and Corporate FP&A teams
Analyze customer data to provide insights on overall performance, define targets for KPIs, and track progress against targets
Oversee pricing of multiple commercial health products.
Seek out external resources to help understand macro drivers of trend.
Direct the development of actuarial models, analyses, and projections to support product pricing, rate filings, network contracting including innovative value-based reimbursement strategies, and cost management
Develop and implement the organization’s actuarial strategy aligned with business objectives and regulatory requirements.
Provide expert guidance to the executive team and board of directors on actuarial matters, including pricing, risk management, and financial planning
Oversee the assessment and mitigation of financial and operational risks related to health insurance products and services.
Provide actuarial insights to support enterprise risk management and business resilience initiatives
Ensure compliance with all relevant regulations, including rate filings, solvency standards, and actuarial certifications
Serve as a liaison with regulatory bodies and represent the organization during audits and reviews
Strong experience in team management, project oversight, and mentoring junior staff
Promote diversity, equity, and inclusion within the team and across the organization, fostering a culture of innovation, collaboration, and professional growth