Senior Actuary

Overview

Our client is searching for a Senior Actuary to fill a permanent remote role with a growing healthcare company. In this role you will be responsible for initiating and leading the development of actuarial studies, underwriting and pricing models, and predictive analyses for the business. This will include developing data-driven demand metrics to generate value-added insights and actionable recommendations to drive value-based contract profitability and influence performance KPIs. It will also require partnering with business leaders to drive performance results for their business, and supporting the CFO in optimizing profitability across the portfolio of client contracts. Day to day you will develop a comprehensive pricing and underwriting strategy, including establishment of pricing governance processes and controls, as well as sales support including direct interaction with clients in the form of written and verbal presentations of proposals, assistance with contract negotiations, etc. Apply actuarial techniques and statistical analysis across several functions, including claim trend analysis, experience studies, medical economics, profitability analysis, predictive modeling, and/or claim reserving. In this role you will develop and lead ongoing financial reconciliation processes for value-based care contracts, including eligibility, revenue, and claims reconciliation as well as ad hoc financial operations reporting, provider network analysis, and fee schedule pricing. Additionally you will initiate and lead the development of complex actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the finance department and across other departments to optimize value-based contract performance and participate in senior leadership meetings, preparing and presenting relevant documents, reports and plans in a timely manner. You will also be responsible for hiring and development of staff and succession planning. Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff. Develops leaders through mentoring and coaching of direct reports. What you need to know: Fully remote, Need level 2 or 3 Actuary(levels below) TopSkills: 1. Ability to work with a variety of partners(leadership, finance, clients) 2. Pricing governance process and controls 3. Experience in Healthcare or Health Insurance ACAS – Associate of the Casualty Actuarial Society ASA – Associate of the Society of Actuaries FCAS – Fellow of the Casualty Actuarial Society FSA – Fellow of the Society of Actuaries CERA – Chartered Enterprise Risk Analyst Interview process:1 Video Interview with Hiring manager 2. Video Interview with leadership 3. Video interview with HR/Panel(if necessary) 4. Hire Job selling points: Additional job details:

Qualifications

• Healthcare (3+ years)
• Health Insurance (3+ years)

• What level of actuarial professional certification have you achieved?

Benefits

Company

Our client makes it easier for everyone to access better, safer, and more affordable care.