Actuary - VBC/Provider Contracting (Remote)

PURPOSE

Performs advanced actuarial and oversight skills in the performance of actuarial analytics to develop actionable items in support of departmental goals
Provides actuarial leadership support to Medical, Pricing, Underwriting, Sales, Finance and other applicable Business Units.
Supports actuarial modeling to support financial objectives and makes recommendations to executives and senior management.

Essential Functions

• Directs the efforts of Actuarial staff (Pricing, Actuarial Finance, Actuarial Medicare Advantage, Actuarial Innovation and Research) to accomplish near and long-term goals set by senior management.
• Collaborates with senior management to set long-term strategy within the Actuarial department.
• Represents the Actuarial department to internal and external customers including state and federal regulators.
• Hires, recruits, and develops a purpose-driven, growing team with balanced, optimal work distribution, visibility, and SOA exam success.
• Supervises a team of Actuarial staff.

Qualifications

• Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics or related field OR 4 years of relevant work experience in addition to the required work experience.
• Licenses/Certifications: Fellow of the Society of Actuaries (FSA).
• Experience: 8 years progressively responsible pricing and actuarial experience in health care. 3 years management experience.
• Knowledge, Skills And Abilities (KSAs): Extensive knowledge of risk evaluation and rating techniques, thorough familiarity with a variety of health insurance products, highly developed analytical skills, excellent interpersonal and communication skills, computing skills with PC-based and mainframe applications, strong leadership skills, negotiation and sales abilities, ability to meet deadlines, effective customer service skills, physical demands include sitting, occasional walking or standing, frequent talking and hearing, lifting up to 25 pounds.