Director of Actuarial Services

Mackenzie Health Care

$190K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • Experience in health insurance or managed care
  • Proficient in SAS/SQL coding
  • Actuarial experience in rate filing and IBNR analysis
  • Experience in managing a team
  • Preferred: ASA designation
  • Preferred: MAAA designation

Responsibilities

  • Lead all actuarial activities related to commercial business
  • Determine premiums and develop rating structures
  • Evaluate rating systems and methodologies
  • Conduct research on medical care cost trends
  • Prepare business plans forecasting future financial performance
  • Perform variance analysis on utilization and unit costs
  • Assist in planning for changes under Health Care Reform
Full Job Description
In this position, you report to Senior Management and are responsible for all actuarial activities that relate to commercial business in addition to support and analysis for all lines of business. You will need to determine premiums, develop rating structures and evaluate rating systems and methodologies. You will participate in the planning and preparation of future changes under Heath Care Reform and other actuarial functions that have incurred but not reported - such as IBNR analysis and other analysis, and you will need to develop business plans that contain forecasts of future financial performance. This position requires research evaluation and analysis of medical care cost trends by region, and market segment and product line and conduct variance analysis with respect to utilization and unit costs. This is a fast paced environment where you will handle multiple projects so someone highly detailed with attention to detail, effective communication skills and being able to work independently is a must. Qualifications Required: Bachelors Health Insurance / Managed Care experience SAS/SQL Coding experience Actuarial experience relating to rate filing, IBNR analysis, product/segment analysis, other Experience managing staff Preferred: ASA (Associate, Society of Actuaries). MAAA (Member, American Academy of Actuaries). Additional Information Salary 190+ DOE Benefits

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