Medical Stop Loss Pricing Actuary
WTW
As a Medical stop loss pricing actuarial lead, you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will contribute to complex analytical work involving stop loss pricing and reserving as well as captive feasibility analysis. You will be responsible for translating that expertise into scalable intellectual capital used across FAA. You will partner with FAA practitioners, Client Service teams, Global Delivery Centers, and technology partners to develop, refine, and deploy reusable tools, models, and analytical frameworks. This role offers the opportunity to grow deep medical stop loss and captive expertise, financial acumen, and project management skills while working on high-impact, forward-looking initiatives alongside FAA leaders. The Role: Lead the technical development of HealthMaps (Tillinghast), a cornerstone stop loss manual product used by many insurers and MGUs Work in close collaboration with product leader and customers to develop a common view of the business. Work in partnership with various stakeholders to identify emerging trends that should be incorporated into HealthMaps offerings. Lead projects across HealthMaps Team and in collaboration with our benefit teams Assist in captive feasibility analysis, captive business development activities, and captive annual pricing work Maintain stop loss benchmarking data, surveys, and provide proactive insights, identify the drivers and respond to clients’ inquiries Apply innovative approaches and leading-edge tools to analyze the business. Seek opportunities to leverage advanced analytics to provide greater insights. Ensure the quality of the data and its consistent application in the medical stop loss pricing and rate filings space. Assume an active leadership role and keep abreast of new medical stop loss trends and other external issues #J-18808-Ljbffr WTW
$100k - $150k
...Medical Stop Loss Pricing Actuarial Lead As a medical stop loss pricing actuarial lead, you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will contribute to complex analytical work involving stop loss pricing and reserving...MedicalPrice workFull timeTemporary workLocal areaVisa sponsorshipWork visaFlexible hours- UnitedHealth Group’s UnitedHealthcare unit is seeking a Senior Actuarial Analyst to oversee Medicaid pricing from end to end, collaborating with market leads, forecasting, medical economics, and external partners to ensure proper funding for Community & State programs....MedicalRemote job
$80k - $142k
...driven, curious, and adaptable Actuarial Analyst to join our reserving... ...and grow across reserving, loss analytics, and claims integration... ...loop between Reserving and Pricing functions. Support claims... ...get in return? Full Suite of Medical Benefits 401k with 3.5% Automatic...MedicalLive inLocal areaShift work$148.2k - $292.3k
...across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic... ...landscape and product types, focused on pricing, underwriting, forecasting, reserving,... ...analysis of return on investment for medical management initiatives Support reserve analyses...MedicalLocal areaVisa sponsorship$100.3k - $172k
...manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates,... ...and database tools. Perform rate level pricing functions and prepare monitoring reports... ...audits Strong understanding of drivers of medical cost trends and financial performance...MedicalWork experience placementWork at office3 days per week$129.3k - $177.8k
...Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and... ...more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving... .... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement...MedicalFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome office$129.3k - $177.8k
...Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and... ...segment-specific strategies, financial trends, medical claims drivers, and the organization's... ...planning, forecasting, reporting, pricing, reserving, rate filing, and trend analysis...MedicalFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...and Blue Shield of Minnesota is hiring an Actuary to support actuarial reserving and... ...of Blue Cross's reserving practices and loss analytics methodologies, gain insight into... ...industry experience, particularly working with medical and claims data. Strong desire to learn....MedicalFor contractorsWork at officeRemote work2 days per week
$128k - $252.5k
...across the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial... ...landscape and product types, focused on pricing, underwriting, forecasting, reserving,... ...review Build return on investment models for medical management and other health plan...MedicalWork at officeLocal areaVisa sponsorship$95k - $115k
Senior Financial Analyst - Pricing & Commercial Finance As a Senior Financial Analyst - Pricing & Commercial Finance at Restaurant Technologies... ...age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual...MedicalFull timeContract workLocal areaFlexible hoursNight shift2 days per week3 days per week$87.7k - $157.8k
...flexibility. Position Purpose Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific actuarial needs and produce actuarial reports to... ...with cross‑functional teams, including Medical Economics, Enterprise Partnerships,...MedicalFull timeContract workPart timeH1bWork at officeRemote workFlexible hours- ...Medica in Minnetonka, MN is seeking an Actuarial Analyst to join our Actuarial Services team. The role provides analytical support in pricing, forecasting, reserving, and financial reporting, with duties performed on site. You will assist in financial models, data analysis...
- ...Guy Carpenter (GC) is seeking an SVP Actuarial Advisor who will serve as a strategic partner... ...assess risk exposure, forecast risks, losses, and financial impact. Expand client services... ...models to assess risk and develop pricing strategies for a range of risk exposures...Work at officeLocal areaRemote workFlexible hours2 days per week3 days per week1 day per week
$65k - $73k
SLEQ is looking for a Stop Loss Accountant to join our shared services team. This is a full-time position located in our Blaine, MN office. Join our team and help us change the way healthcare is financed, disclosed and delivered. We are a creative, collaborative, and friendly...Full timeWork at office$100k - $150k
...Health Actuarial Senior Consultant Built on meritocracy, our unique company culture rewards... ..., large claim analysis, specific stop loss analysis, demographics analysis, IBNR, etc... ...teammates, including: Health Benefits: Medical/Rx, Dental, Vision, Life Insurance,...MedicalHourly pay$53.64k - $85.84k
...Financial Analyst I - Pricing The role of a Financial Analyst I Pricing is to partner with the sales teams by providing pricing guidance... ..., non-union employees including: health insurance options for Medical, Dental & Vision plans, Short- and Long-Term Disability plans,...MedicalDaily paidFull timeContract workTemporary workLocal areaFlexible hours$24.18 - $32.21 per hour
...excel at—all from Day One.Job DescriptionAs a Security Master & Pricing Analyst you'll play an important role in supporting the... ...peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort...MedicalFull timeWork at officeLocal area3 days per week$72.8k - $130k
...Caring. Connecting. Growing togetherThis Senior Actuarial Analyst will be part of a team that oversees the Medicaid pricing process from beginning to end. Working cross-... ...health plan market leadership, forecasting, medical economics, accounting, and many other teams across...MedicalMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$88.8k - $126.9k
Medica is seeking an Actuarial Associate to analyze and evaluate future events in order to manage risks. The role includes interpreting actuarial analyses, performing rate level pricing functions, and forecasting trends via statistical programming. Ideal candidates possess...Work at office3 days per week- UnitedHealthcare is seeking a Senior Actuarial Analyst to lead Medicaid pricing initiatives and support cross-functional teams across markets, forecasting, and accounting. You will analyze rate files, trends, and eligibility to advocate for appropriate reimbursement while...Remote jobWork at office
- Medica is a nonprofit health plan serving communities in Minnesota and beyond. The Actuarial Analyst will join our Actuarial Services team in Minnetonka, focusing on pricing, forecasting, reserving, and financial reporting. The role requires a bachelor's degree and SOA...3 days per week
- A leading health care provider is looking for an Actuarial Analyst ALDP to analyze Medicaid pricing and support pricing initiatives. This remote role requires a Bachelor's Degree and participation in the Actuarial exam track. Ideal candidates will have 3+ months of relevant...Remote job
$85k - $136k
...Senior Commercial Finance and Pricing Analyst You will be responsible for consolidating, measuring, and reporting commercial performance... ...around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare...Work at officeImmediate startWork visaRelocation package$88.8k - $152.3k
...norm and every member feels valued. The Actuarial Associate will analyze and evaluate the... ...and database tools. Perform rate level pricing functions and prepare monitoring reports... ...Medicare Advantage Part D, Cost Plans, or Medical Supplement plans. Skills And Abilities Proficiency...MedicalWork experience placementWork at office3 days per week$70.2k - $120.4k
...in the preparation of financial models, pricing structures, and reserve estimates to support... ...data analysis and validation using actuarial and statistical techniques Contribute to... ...rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid...MedicalWork experience placementWork at office3 days per week$120k - $240k
...Director, Managing Actuary At Allianz Life, we are driven by our mission we secure your future and by our common goal of caring for tomorrow... ...and their families. We offer: a choice of comprehensive medical, dental and vision plan options, flexible spending and health savings...MedicalH1bLocal areaFlexible hours$89.83k - $170.21k
...Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days... ...including conducting experience analyses, pricing, filing and settlement work; and... ...by a collective bargaining agreement), medical, dental, vision, short and long term disability...MedicalTemporary workTraineeshipWork experience placementWork at officeLocal area2 days per week1 day per week$106.9k - $147k
...Become a part of our caring community The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and... ...life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan,...MedicalFull timeTemporary workApprenticeshipRemote workWork from homeHome office$24.18 - $32.21 per hour
...Security Master & Pricing Analyst At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to... ...disability accommodations for applicants. Benefits: ~ Healthcare (medical, dental, vision) ~ Basic term and optional term life insurance...MedicalTemporary workWork experience placementWork at office3 days per week$95k - $110k
...product development (ROI), asset/liability management, product pricing, profitability, cost center expenses, etc.Job Dimensions:Provides... ...addition to a competitive salary, an affordable and top tier medical/dental/vision plan, 401k, and many other great benefits - The Toro...MedicalFull timePart timeSummer workCasual workWork at officeWork from homeWork visaFlexible hoursWeekend work1 day per week
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