VP, Actuarial Services

  • 38458
  • Health - Actuarial
  • |
  • Texas, United States
  • |
  • Oct 28, 2020
Insurance
RESPONSIBILITIES
  • Generate models for pricing, reserving, and medical cost/utilization trends under a variety of program requirements including value based arrangements, MLR calculations, shared savings models.
  • Assist with model development for identifying and implementing clinically viable tools for provider behavior change.
  • Proactively identify pricing opportunities and risks.
  • Prepare comprehensive documented observations, analyses and interpretations of results including technical reports, summaries and quantitative analyses.
QUALIFICATIONS
  • Bachelors or higher in mathematics, actuarial science or closely related field; statistics background would prove helpful in this role.
  • ASA or FSA designation.
  • Ability to sign pricing and reserving opinions a plus.
  • Ten years of experience in the group health or related field with a deep knowledge of the health care actuarial and underwriting functions required.
  • Five years of management experience required.
  • Strong verbal, written and interpersonal communication skills.
  • Ability to manage multiple tasks and deadlines.
  • Ability to work in a team environment, working closely with our Analytics department.
  • Advanced Excel application design skills, with ability to pull/manipulate data using SQL.
  • Ability to maintain a high degree of confidentiality.
  • Ability to conceptualize new product services and new financial models.
  • Projects a professional business image.
  • Role is expected to have a fair amount of customer engagement.