Sr. Actuary - Health - Hybrid

Description

Our client is looking to add an experienced Group Health Actuary to corporate practice. This role is an individual contributor, and not a manger, however they will manage and work on the range of actuarial work performed on client's group benefit plans.

Main duties:
Manage the actuarial function supporting client's health and welfare benefit plans.
Responsible for the actuarial analysis supporting product pricing, ensures proper risk analysis, and verifies the actuarial soundness of underwriting processes. Oversees the development of all required reporting and related analysis, including setting reserves, ongoing experience monitoring, and reports to management. Serves as internal expert for the group actuarial function and serves as liaison between client's third-party actuarial services provider(s) and internal business units.

Responsibilities:
Establish policies and procedures that ensure that all activities are performed to established standards. Ensure integrity of actuarial/financial analysis and methods supporting periodic reporting, product pricing, reserving, risk assessment, introduction of new plan features, and impact of new legislation.
Provide expertise to internal teams and third-party vendors to ensure processes, technology, standards and methods, and technical resources support client's ability to deliver highly effective group benefit products. Partner with other units to align benefit offerings with client's business goals and needs. Ensure all actuarial work (internal and external) is consistent with the group product offering, business strategy, and systems needs/constraints.
Accountable for the quality and timeliness of annual actuarial analysis, product pricing, assumption setting, risk analysis, special studies, periodic financial/experience reporting, and communication of information to other departments. Assess the validity of third-party results/recommendations.
Partner with third-party actuarial consultant(s) and Underwriting staff to analyze trend, update pricing methodology/assumptions, translate product-level pricing parameters into rates, and update/develop pricing factors for renewal rates development tools. Ensure vendor results reflect unique client needs/processes/financial reporting/analysis.
Periodically review and update actuarial assumptions and methods used. Identifies and reports risks and uncertainties regarding the administration and financial status of the plans with management. Identifies areas requiring additional analyses/data.
Monitor for changes in product design, demographics, legislation, market dynamics, actuarial standards, etc. and translate into impact on the benefit plans and actuarial function. Address adverse impacts. Perform analysis and support modeling required by other teams needing to quantify or illustrate the impact of such changes.
Provide ongoing advice and counsel to management regarding the plans. Provides timely updates to the Chief Actuary on:
the actuarial and administrative impact of proposed plan or actuarial assumption changes, policy decisions, and legislation.
the actuarial/financial status of the plans, sensitivity analysis, risk/uncertainty, and issues requiring immediate action or ongoing analysis.
Manage the work of the third-party actuarial consultant(s) and facilitate communications and information sharing between the consultant and client teams.

Qualifications:
Ideal candidate will have 12+ years as a healthcare actuary performing actuarial analysis for all major types of group health and welfare benefit plans (medical, prescription drug, dental, vision, life, LTD/STD). Medical experience is required, other ancillary products are nice to haves.
Experience with managing the broad range of activities required for comprehensive actuarial support of such offerings.
Must be at least an ASA with FSA a plus. Do not have to be pursuing FSA designation.

To apply please email: Matt Doman | View phone number on click.appcast.io