Manager-Actuarial Processes

Full-time - Manager

Buffalo, NY

Insurance Carriers and Related Activities

About the position

The Manager will be responsible for performing a full scope of actuarial and statistical analyses. Such analyses will support both internal and external customers. This position will require working collaboratively with upper management and other business units and will require strong analytical skills as well as the ability to demonstrate good judgment when making decisions without complete information. The Manager will assist in the development of process improvements.

Responsibilities

• Hold meetings with business partners throughout the course of the analysis to understand the nature of the business and seek input on specific drivers of the analysis.
• Lead results discussions and maintain ongoing communications.
• Work with Finance and Accounting to provide financial and actuarial reports on a timely basis, including accurate data for various financial statement items.
• Oversee preparation of data and analyses for regulatory reporting and for audits.
• Provide information to analysts preparing new product development analyses, including data for rate filings.
• Responsible for the analysis of data to support various physician and vendor arrangements.
• Support analysis and reporting pertaining to regulatory requirements such as MLR filings.
• Lead the development of ad hoc reports as a supplement to routine management reports through query building and data extraction.
• Implement process improvements and automation within the department.
• Perform other functions as assigned by management.
• Ensure overall data integrity.
• Share knowledge with team members.
• Assist in the development of actuarial analyses concerning complex issues and trends.
• Draw together facts and input from a variety of sources; draw conclusions.
• Represent the Actuarial Department on special projects involving other areas of the company or external constituents.
• Interpret how regulatory changes affect health plan and develop impact analyses.
• Complete reconciliations pertaining to vendor contracts as required.

Requirements

• Bachelor's degree required in Mathematics, Statistics, Actuarial Sciences or related field.
• Master's degree preferred.
• Completion of Society of Actuaries exam(s) preferred.
• Five (5) years of Actuarial, Underwriting or Statistical Analysis required.
• Health care experience preferred.
• ASA or FSA designation preferred.
• Two (2) years of progressive leadership/management responsibility required.
• Strong problem-solving skills.
• Excellent oral and written communication skills.
• Self-motivation and initiative, as well as an ability to perform under pressure.
• Strong interpersonal skills.
• Strong organizational skills and ability to prioritize, multitask, and work in fast paced environment.
• A strong understanding of non-Actuarial related functions such as, Provider Contracting, Network Management, Product Development, Medical Management, etc., and how they impact operations and financials.
• Advanced knowledge of Excel, Access and other analytic or query tools preferred.
• Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Benefits

• Scorecard incentive
• Full range of benefits
• Generous paid time off