[Hiring] Actuarial Analyst IV @company

Role Description

The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is responsible for providing a range of experience working to establish rates, rating structures and systems, and reserves. The Actuarial Analyst has accountability for providing in-depth analysis on the overall risk management and financial solvency for the health plan operation.

Qualifications

• Bachelor’s Degree in a related field with at least one (1) Society of Actuary (SOA) exam passed required.
• Prior actuarial or related insurance industry experience preferred.
• Strong analytical skills, verbal and written communication skills.
• Strong interpersonal skills with demonstrated ability and willingness to collaborate with other team members.
• Ability to prioritize, multitask, and maintain multiple simultaneous projects.
• Intermediate technical skills including proficiency in Microsoft Office Suite.
• Strong programming skills in SQL, SAS, VBA, or similar programming language is preferred.

Requirements

• Level I:
  • Establishes insurance rates, rating structures, and rating systems for groups and categories of business.
  • Maintains reserve programs, pricing files, risk score models, benefit relativity tables and appropriate documentation for work.
  • Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for well-defined projects as directed.
  • Compiles and analyzes data to draw conclusions and make recommendations.
  • Proposes and assists in the development of process improvements utilizing system and software applications to full potential.
  • Continued professional growth in Actuarial field as evidenced by participation in the Actuarial Study Program, attainment of credentials, and maintaining applicable annual continuing education requirements.
  • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values.
  • Consistently adheres to the Actuarial Standards of Practice and the Code of Professional Conduct.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Regular and reliable attendance is expected and required.
  • Performs other functions as assigned by management.
• Level II (in addition to Level I Accountabilities):
  • Conducts analyses for and communicates with other departments on various initiatives.
  • Assists the development of actuarial analyses concerning complex issues & trends, coordinates with staff.
  • Reconciles Data Warehouse data with corporate financials or encounter submissions and identifies and develops corrective action.
  • Initiates and leads efforts to continually improve data capabilities and quality of department analysis and reporting.
  • Proactively and independently ideates process improvements, researches, and recommends changes to actuarial processes.
  • Draws together facts and input from a variety of sources.
• Level III (in addition to Level II Accountabilities):
  • Reviews and ensures pricings are consistent with established profitability targets for business segments priced in Actuarial.
  • Develops actuarial analyses concerning complex issues and trends, coordinating with several different disciplines and staff.
  • Provides effective technical advice and support to assist management in meeting corporate goals and identifying strategy.
  • Leads departmental projects and initiatives with other actuarial staff.
  • Prepares actuarial statements of opinion.
• Level IV (in addition to Level III Accountabilities):
  • Represents the Actuarial Department on special projects involving other areas of the company or external constituents.
  • Performs data exploration using a combination of statistical programming languages and deploys advanced statistical techniques.
  • Leads organizational projects with internal and external partners.
  • Interprets how regulatory changes affect Health Plan and develops impact analyses, processes and guidelines.
  • Collaborates with senior leadership in meeting corporate goals and strategic planning and decision making.
  • Recommends departmental annual performance goals.

Benefits

• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.

Compensation Range(s)

• Level IV: Grade E7: Minimum $87,766 - Maximum $157,978.

Physical Requirements

• Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.
• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.