Executive Director, Actuary
About the Company
Top-tier health insurance company
Industry
Insurance
Type
Privately Held
About the Role
The Company is seeking an Executive Director, Actuary to play a pivotal role in driving and supporting the company's strategy. The successful candidate will be responsible for managing actuarial expertise to ensure soundness and using actuarial knowledge to enhance the profitability of health plan lines of business. This includes monitoring claims trends, investigating aberrations, and tracking member risk scores for risk adjustment analysis. The role also involves assisting in various actuarial filings, coordinating with external consultants, and supporting the annual budget process. The ideal candidate will have a strong background in the actuarial industry, particularly in healthcare, and a proven track record in management. Candidates for the Executive Director, Actuary position at the company should have a Bachelor's degree in Actuarial Science, Mathematics, or Finance, with a minimum of 5 years' experience in the actuarial industry, specifically in healthcare. A background in Medicaid, commercial, and/or MA business, including rate negotiations and state and federal reporting requirements, is essential. The role requires a minimum of 3 years' of management experience, with a preference for those with managed care and state/federal government program experience. Proficiency in Excel, computer coding (SQL/SAS), and strong analytical skills in medical claims trends, reserving, forecasting, and pricing are also necessary. The candidate should be able to communicate complex analytical results effectively and provide guidance to entry-level actuarial staff. Professional designations such as ASA and MAAA are preferred.
Travel Percent
Less than 10%
Functions
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