Actuary

  • 38884
  • Health - Actuarial
  • |
  • California, United States
  • |
  • Jan 14, 2021
Healthcare
RESPONSIBILITIES
  • Act as an internal subject matter expert in health insurance domain knowledge
  • Knowledge of cash flows and financing in healthcare (including what drives profit and loss)
  • Understanding of the dynamics of different market segments / lines of business
  • Understanding of health insurance data and analytics, with extensive experience using claims data
  • Understanding of health plan operations, which informs adoption and implementation
  • Understanding of product pricing and design
  • Familiarity with rules and regulations by market, which informs assessment of barriers to entry of new product ideas
  • Significantly contribute to product development with areas of focus including stop loss underwriting and aiding customers in finding creative and innovative ways to adopt machine learning technology into existing actuarial and underwriting workflows.
  • Review customer cost / utilization data and look for trends, create benchmarks, and summarize key results that help a customer adopt a product or gain new insight.
  • Contribute to analytical methodology and thinking, including ways to calculate product value and ROI.
  • Contribute to company’s growth of analytics as a function
  • Understand the product -identify innovative solutions, improving upon existing and building new.
  • Participate in product discovery and testing meetings with customers to understand pain points, opportunities, and value.
  • Work cross functionally and in particular with your teammates on the product team and with data science, engineering, and clinical.
  • Attend customer and sales meetings to hear feedback from customers directly and assess impact to product strategy and positioning, partnering with the commercial team.
  • Adhere to company policies related to company and other data security requirements.
QUALIFICATIONS
  • Have at least 5 years of actuarial experience in a health plan or consulting firm working with health plans, ideally with exposure to multiple areas of practice and lines of business
  • ASA or above
  • Technical expert in Excel
  • R, SQL or Python program experience required
  • Predictive modeling experience is helpful but not required
  • Bachelors Degree required.