Medica Health Plans

Actuary

Medica Health Plans$100K — $150K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in a related field
  • 7+ years of relevant work experience
  • FSA certification or demonstrated performance under a qualified actuary
  • Health insurance actuarial experience preferred
  • Familiarity with reserving methodologies including IBNR development
  • Strong problem-solving skills and attention to detail
  • Proficiency in Excel; experience with SAS or SQL is a plus

Responsibilities

  • Analyze and evaluate risks to manage future events
  • Complete actuarial analysis, valuations, and cost estimates
  • Perform rate level pricing functions and prepare reports
  • Develop and monitor monthly fee-for-service claims projections
  • Produce variance reporting against budget and forecast
  • Support preparation of annual actuarial statements and opinions
  • Provide actuarial support for financial audits

Benefits

  • Competitive medical, dental, and vision insurance
  • Generous paid time off and holidays
  • Paid volunteer time off
  • 401K contributions
  • Caregiver services
  • Access to a comprehensive total rewards package
Full Job Description
Analyze and evaluate the likelihood of future events in order to reduce and manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools. Perform rate level pricing functions and prepare monitoring reports on program or product pricing. Measure historical relationships to develop forecasts and identify trends. Performs other duties as assigned.

Key Accountabilities

  • Develop and monitor monthly fee-for-service claims projections
  • Produce monthly variance reporting against budget and forecast, including key drivers
  • Support the preparation of annual statement actuarial opinions and memoranda
  • Provide actuarial support for financial audits
  • Maintain a strong working knowledge of actuarial data and available technology tools
  • Produce accurate, timely actuarial reports and exhibits


Required Qualifications

  • Bachelor's degree or equivalent experience in related field
  • 7 years of work experience beyond degree


Required Certifications/Licensure

  • FSA achieved or demonstrated performance over multiple years under the supervision of a qualified actuary


Preferred Qualifications

  • Health insurance actuarial experience with familiarity across multiple products
  • Experience in reserving methodologies and processes, including IBNR development, variance analysis, and reserve adequacy assessments
  • Experience supporting statutory reporting, actuarial opinions, and financial audits
  • Strong understanding of drivers of medical cost trends and financial performance
  • Proficiency in Excel and experience in SAS or SQL is also preferred
  • Strong problem-solving skills and attention to detail
  • Ability to balance several projects and deadlines at once


This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO.

The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

About Medica Health Plans

Medica Health Plans is a non-profit health insurance company based in Minnesota. It was founded in 1975 and provides health insurance to individuals, families, and employers in Minnesota, North Dakota, South Dakota, and Wisconsin. Medica offers a variety of health plans, including HMO, POS, PPO, and Medicare Advantage plans. The company also offers dental, vision, and pharmacy benefits. Medica has received high ratings for customer satisfaction and quality of care. The company is committed to improving the health of its members and the communities it serves.
Learn more about Medica Health Plans
Size
1,700 employees
Industry
Founded
1975

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