Job Summary:

The Actuarial Manager is a key member of the Finance / Actuarial Services team. As a team leader and a Subject Matter Expert, the Actuarial Manager leads or oversees actuarial functions for pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Actuarial Manager collaborates with Finance teams or other departments in the organization to oversee and assure a coordinated approach to the actuarial components of health programs, and provides actuarial expertise to protect the organization’s financial integrity.

Key Functions/Responsibilities (May Include):

• Leads in various initiatives to support ACA products on the rate development process by providing analyses and recommendations on benefit design, rating factors, trend picks, and projection of future claim cost. • Oversees regulatory requirements on Cost Sharing Reconciliation and risk adjustments, and prepares data or response for additional inquiries. • Leads risk adjustment analyses and risk score simulations. • Maintains financial relationships with vendors and providers. • Leads and develop analytic reports for internal needs and/or regulatory requirements. • Initiates and leads efforts to improve quality and efficiency of actuarial models, analyses and reports. • Serves as actuarial representative or SME for corporate initiatives/projects. • Advises Finance department on data warehouse designs, requests and works with IT to implement or improve business processes. • Drives organizational talent by retaining and developing colleagues and/or actuarial students. Supervision Exercised: • May supervise 1 – 5 staff members. Supervision Received:

• General supervision is received weekly. Qualifications: Education:

• Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related fields.

Experience:

• More than 5 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis.

Preferred/Desirable:

• A background in managed healthcare, insurance operations. • 2+ years of prior experience managing a small team of analysts. • Master’s degree. • ASA or FSA

Certification or Conditions of Employment:

• Pre-employment background check. Competencies, Skills, and Attributes:

• Proficient in Excel, SQL, and SAS or other statistical software. • Strong interpersonal skills to lead and direct the efforts of others, both internally and externally. • Strong analysis skills. Must be able to conceptualize and envision the impact of change, and propose new ways to do business. • Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus. • Strong communications skills, both verbal and written. Working Conditions and Physical Effort:

• Work is normally performed in a typical interior/office work environment. • No or very limited physical effort required. • No or very limited exposure to physical risk. • Regular and reliable attendance is an essential function of the position.

Required Skills Required Experience