Director

  • 37636
  • Health - Actuarial
  • |
  • Georgia, United States
  • |
  • Jun 26, 2020
Insurance
RESPONSIBILITIES
  • Manages the efforts of direct & indirect reports, & collaborates w/, provides guidance to & influences employees, clients & matrix partners in extremely complex organization/s.
  • Responsible for identifying resource need & obtaining appropriate funding/approvals.
  • Overall leadership responsibility for selecting, developing, & deploying staff, performance mgmt, compensation decisions, rewarding & recognizing employees, & providing on-going, regular performance feedback.
  • Creates & model a coaching culture that supports continuous growth & development at all levels.
  • Effectively leverages company's Manager Coaching Program to support team development & sales excellence.
  • Establishes extremely complex strategy & tactics w/in area of responsibility & may influence other areas; contributes to strategy formulation.
  • Implements, monitors & evaluates extremely complex plans to accomplish goals, results tracked & resources appropriately allocated across area of responsibility.
  • Overall accountability to ensure that effective controls are developed & maintained to ensure the integrity of production outcomes for the organization.
  • Reviews & integrates extremely complex business processes to achieve business results & appropriate solutions for customers.
  • Uses efficient & cost effective approaches to integrate extremely complex processes & technology into the workplace & improve program effectiveness.
  • Leads development & execution of new capabilities including self-funding & total replacement.
  • Has authority to independently authorize changes to rates up limits specified by authority guidelines.
  • Overall responsibility for investment fund allocation decisions.
  • Achieve revenue, membership & margin targets for area of responsibility.
  • Manages financial aspects of the organizational area. Accountable for direct budget.
  • Provides financial projections for strategic plans or forecasts for future years.
  • Participates in the rate setting process for the region in partnership w/ finance, marketing & other key departments.
  • Formulates extremely complex, effective strategies consistent w/ the business & competitive strategy of the organization & functional area.
  • Leads extremely complex policy development & strategic planning w/ a long term as well as short term perspective.
  • Develops strategies, objectives, & direction for direct reporting organization & w/ partner functions.
QUALIFICATIONS
  • Ten years of experience in underwriting, marketplace evaluations, and/or financial analysis of which six years must have been spent in a direct management capacity.
  • Bachelor's degree in business administration, health care administration, mathematics, statistics, OR four years of experience underwriting, marketplace evaluations, and/or financial analysis.
  • Demonstrated experience in complex problem solving skills.
  • Experience in effective verbal/written communication skills.
  • Demonstrated experience in strong customer facing skills, public presentation skills, including negotiation and advanced leadership skills.
  • Demonstrated experience and advanced understanding of basic utilization and pricing models, HMO Act, state regulations, rate setting principles, actuarial concepts, and healthcare insurance products.
  • Advanced proficiency in Underwriting, Underwriting systems and processes.
  • Possesses a high degree of business acumen.
  • Demonstrated ability to influence change across all functional areas of the organization.
  • Demonstrated understanding of health care industry, market dynamics and trends for all health care products, and competitor strategies.
  • Preferred:
  • Four years of experience managing in a managed care environment.
  • Master's degree in mathematics, statistics, business administration or a directly related field.