Senior Actuary Lead - Health Insurance Pricing & Analytics (New York)

Summary:

• Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.
• Lead projects to analyze current rate structures and develop improvements and alternatives.
• Coordinate the actuarial staff as needed to support the activities of the affiliates.
• Lead actuarial staff as needed to support the activities of the affiliates.

• Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.
• Work collaboratively with all areas of the organization to identify opportunities to improve product performance.
• Oversee the development and filing of premium rates and/or expected costs with the appropriate regulatory authority (e.g., CMS, New York Department of Health).
• Work closely with Risk Adjustment and other areas.
• Advise and develop direct reports accountable for at least one line of business (e.g. ACA, Large Group, Medicare, Medicaid, SSP), as well as other staff.
• Perform other duties as assigned or required.

• Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
• Associate of the Society of Actuaries (A.S.A.) required
• Member of the American Academy of Actuaries (M.A.A.A.) required
• Fellow of the Society of Actuaries (F.S.A.) preferred
• 10+ years of relevant, professional work experience and/or education required
• 6+ years of actuarial experience with ASA; or 5+ years' experience with an FSA required
• 5+ years health insurance actuarial experience, preferably in the managed care industry required
• 1+ year of management experience required
• Comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
• Knowledge of reimbursement methodologies required
• Ability to develop actionable reports for senior management required
• Excellent written and oral communication skills to deliver complex information required
• Proficiency with MS Office (Work, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation required