Regional healthcare provider seeks an FSA (8+ yrs) as Director, Risk Adjustment Modeling & Analytics. Set strategy and develop models to identify risk gaps and opportunities, determine financial performance, and analyze risk adjustment to improve outcomes. Develop and implement risk adjustment strategy for Commercial, Medicare, and Medicaid risk adjustment programs. Experience with analytics and modeling and exposure to ACA, MA, or Medicaid risk adjustment. At least five (5) years’ supervisory experience required. Requires extensive experience with clinical and claims data
Global management consulting firm has position for H&B Consulting Analyst (4+ yrs). Assist in strategy development and costing of scenarios related to strategy discussions. Work with client to identify relevant cost measures. Understand and project savings/costs related to plan design or provider network changes. Review employee contribution rate development; present results to client. Perform supporting analysis for IBNP reserve development. Develop models to evaluate cost-saving scenarios. Health and benefits work experience.
Global pension, benefits and management provider seeks Pre-ASA (3+ exams, 2-5+ yrs) as Health Actuarial Analyst. Health care budget rate-setting for self-insured plans including analysis of medical and prescription drug network changes. Employee contribution rate development and scenario analysis. Analyze insured plan renewals for appropriateness and carrier bid financial evaluations. Perform financial modeling associated with plan design and provider network changes. Calculate actuarial reserves and maintain an up-to-date knowledge of group systems, products and technology.
Global insurance provider seeks an ASA/FSA (4+ yrs) as an Actuarial Associate. Develop, and run models and templates for use in forecasting, financial reporting, reserving, calculation of economic capital, and determination of embedded value. Provide analysis and evaluation of model results and present results for senior actuary review. Develop current period accruals and provide detailed write-ups on financial results. Acquire, and develop data for use in experience studies, trend analysis, financial reporting, and risk management. Actively manage multiple financial reporting responsibilities. Actuarial modelling experience: Risk Agility, MoSes. Insurance product knowledge: Health insurance products
Global insurance leader seeks ASA/FSA as Actuarial Associate (0-4+ yrs). Primary responsibility is to support the business needs of department. Prepare IFRS17 pilot work using internal excel template. Learn calculation tool (internal or external) and integrate into current valuation process. Perform parallel reporting of IFRS17 in transition year. Understand key drivers of IFRS17 income. Actively seeking. Programming knowledge: C++, R, SQL, VBA. Actuarial modelling experience.
Managed care organization seeks FSA (10+ yrs) as Chief Actuary. Responsible for finding solutions to balance costs and risks, conduct regular rate analysis, research and price products, and financial impacts relating to product development. Develop organization's Health Plan premium rate structures and forecast financial/statistical data. Provide financial and analytic support for annual Medicare Bid process, Medicare Supplement business and maintenance of rating models and pricing, and trend analytics. Oversee monthly IBNR and reserves using. experience with health care insurance, reserve setting, rate development required.
Premier national managed healthcare company needs an Actuary/non-Actuary (5+ yrs) as Medical Economics Consultant. Develop and communicate strategic direction as well as analytic findings and recommendations. Provide primary data and analytics support for local health plan. Provides subject matter expertise for current and historical cost experience, cost drivers, and trends. Partner with Actuarial and Finance leaders to ensure budget and forecast accuracy. Experience manipulating large data sets. Medicaid knowledge.
National provider seeks an Actuary Manager (5+ yrs). Produce, price, forecast, and reserve deliverables. Maintain understanding of changing health care and actuarial trends and how they impact organization. Lead development of pricing and filing deliverables including model and assumption development; sensitivity/scenario analysis; actual to expected analysis; internal and external communication with health plan leadership, regulators and auditors. Healthcare actuarial experience. Experience with writing queries in SQL. Experience developing scripts or procedures in a programming language.
Self-insured, not-for-profit company has an opening for Director, Actuarial and Analytic Services. Responsible for directing support for all business units. Direct influence over maintaining the financial health of product portfolio and communication of line of business performance. Manage small team.
Top life insurance provider seeks ASA/FSA as Group LTD Actuary-Pricing. Lead or execute product design, pricing, reserving, projection and other financial analyses for assigned products. Plan and execute projects designed to meet group disability product development and pricing, objectives. Direct the rate development for new products and product modification activity. Develop rate assumptions and manage development of rate scales and detailed rates. Experience in development and presentation of financial reports. Experience with group disability products.
Premier life insurance provider seeks ASA/FSA as Group LTD Actuary-Experience Studies. Lead or execute product design, pricing, reserving, projection and other financial analyses for assigned products. Coordinate resources to provide effective analytical support. Manage development of financial projections and develop detailed financial projections for new and existing products. Experience in development and presentation of financial reports. Experience with group disability products
Global Reinsurance leader seeks FSA (10-15 yrs) as VP, Lead Actuary. Lead and manage actuarial function for pricing, value added services, marketing and product development for U.S. Group Reinsurance’s Healthcare business unit. Develop and maintain models, tools, pricing assumptions, experience studies, and controls. Ensure pricing follows corporate pricing guidelines. Set strategy and goals, marketing, analyzing monthly financials, and creating annual financial and operational plans life, health or medical insurance/reinsurance experience.
Leading employee benefits provider looking for an FSA successful candidate will be responsible for group valuation (LTD, Life, STD and AD&D), manage overall adequacy and integrity of group claim liability estimates and drive enhancements to the group business analytical framework. Perform risk analysis and support various strategic initiatives; drive, enhancements to the risk analytics and modeling capabilities leadership and application of modern technology solutions. Set Statutory and GAAP reserve assumptions, reserve bases and adequacy/cash flow assessments for Group Products based. Make recommendations on adjustments to reflect emerging block experience and trends. Responsible for managing a mid-sized team. Strong business background.
Major global consultancy seeks ASA/FSA (6+ yrs) as Health Actuary Manager. Lead team to create model to value impact of health care reform on health plan clients. Review trend forecasting and predictive modeling tools. Price alternative plan designs and define product strategy. Health Actuary experience. Up to 80% travel required. Experience managing staff. Familiarity with group insurance products including disability, long term care, etc., Merger and Acquisition experience.
Leading global consultancy seeks career ASA/FSA (4+ yrs) as Health Actuary Senior Consultant. Provide strategic and technical consulting services to health plans, providers, Federal and State governments. Responsibilities include Individual medical and small group health care reform modeling for health plans. Assist in defining underwriting policies and perform risk score analysis. Price alternative plan designs and define product strategy. Experience with: Product design and/or product strategy, Reimbursement models – including value-based care/ACO modeling. Familiarity with group insurance products including disability, long term care, etc., Experience with Medicare products.
Prestigious insurance leader seeks career FSA (10-15+ yrs) as VP & Lead Actuary. Lead and manage actuarial function for pricing, value added services, marketing and product development business unit, including development and maintenance of models, tools, pricing assumptions, experience studies, and controls. Pricing or product development experience. Management experience a must.
Health services leader seeks career ASA/FSA (7+ yrs) as Manager Actuarial Services. Responsible for broad actuarial and analytic support medical insurance product portfolio. Develop and maintain premium rates and regulatory filings medical plans. Price analysis and financial modeling to support product development and strategic initiatives. Responsible for monthly IBNR estimates and reporting of results to Actuarial and Finance leadership. Health insurance or health consulting operation experience.
Managed healthcare provider seeks an ASA as Associate Actuary-Health Policy. Assist design, manage and coordinate actuarial evaluations of proposed laws and regulations across lines of business (LOB). Manage policy revenue, earnings and enrollment design and evaluation projects. Analyze, and model regulations and data to evaluate impact. Pricing experience for Medicaid or Medicare.
Managed healthcare organization seeks ASA (7+ yrs) as Actuary, Value Based Contracted. Conduct analyses, pricing studies, and risk assessments for value-based contracting strategies across multiple lines of business. Monitor and evaluate program performance. Communicate findings, risks, and opportunities. Review insurance plans and calculate required premium rates.
Managed healthcare provider seeks Pre-ASA/ASA (2-4 exams; 3+ yrs) as Senior Actuarial Analyst. Conduct analysis and data development, for broad range of financial and actuarial functions including: product pricing and rate reviews, financial planning, trend analysis, product development, provider reimbursement, fee schedule development, provider risk analysis, and medical cost containment analysis. Thorough understanding of health insurance industry with proficiency in relational databases, data warehouses, Excel, and statistical modeling, strong interpersonal skills.
Managed healthcare organization has opening for Health Care Analyst (2+ yrs). Participate in all aspects of projects from planning, designing, implementing, and presenting findings. Topics of focus include trend analysis, product development, provider reimbursement analysis and financial planning. Day-to-day work combination of new projects, maintaining existing projects, and standard reporting. An understanding of the health insurance industry is preferred.
Managed healthcare Company has a position for a VP and CFO (12-15 yrs). Health care background, ideally medicaid managed long-term care. Leader financial affairs Senior Whole Health plan serving managed long-term care Medicaid market. Key responsibilities include financial planning and performance management. Participate in development and execution of both near-term and long-term business strategies. Oversee financial terms of all contracts and coordinate related activities. Analyze and report monthly financial results
Global consulting firm seeks an ASA/FSA (5+ yrs) as Health Actuary. Perform analysis of healthcare data. Write reports that explain technical concepts clearly to non-technical audience. Manage project through completion within expected budget. Healthcare actuarial experience.
Managed care Company seeks an ASA (3+yrs) as Associate Actuary Medicaid. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific needs and produce reports to aid in developing corporate strategy. Serve as main point of contact for an assigned health plan and develop probability tables based on analysis of statistical data. Analyze impact of legislative changes and analyze and evaluate required premium rates. Assess cash reserves and liabilities enable payment of future benefits.
Leading global reinsurer needs an ASA. Healthcare / Medical experience. Position in Products Team provide support for the full spectrum of US Medical Reinsurance actuarial services. Responsibilities include new and renewal business costing support, providing financial and actuarial services to client markets, underwriting, technical accounting, reserving, brokers and external clients and develop actuarial costing and experience reporting models. Develop quote costs, assumptions and model results or experience studies. Support the development of the Annual Plan. Construct financial scenarios for client discussions. Health actuarial training is required. Minimum of three years of healthcare experience. Knowledge of medical or managed care products, government health care programs.
Global insurer has an opening for a 2nd VP Account Manager (A&H) FSA to lead insourcing of actuarial function for Medicare Supplement, LTC, DI and ancillary health businesses. Responsible for valuation, experience studies, assumption setting, rate filings and actuarial projection. Support new Medicare Supplement product development and pricing. Manage small team.
National insurer seeks a near to new FSA as Manager – Pricing (5+ yrs). Develop and implement premium pricing methodologies for all products and business lines. Oversee all financial, actuarial and competitor analysis activities necessary for development of pricing strategies and tactical business decisions. Oversee and participate in the pricing of existing and new products, benefits, and group-specific benefit designs. Manage and develop annual Medicare product line bid submission to the Centers for Medicare and Medicaid Services. Coordinate, and maintain operational systems and reporting tools for use by Commercial Group and Individual Underwriting departments. Knowledge of Medicare bid processes and regulations. Knowledge of premium rate development methodologies and techniques
National health insurance provider seeks an FSA (10-15+ yrs) as Director – Pricing. Provide oversight of all actuarial work in support of Plan including rating, regulatory filings, and trend analysis. Maintain underwriting and rating systems. Ensure optimal member (and aligned provider) experience through Actuarial, aligning pricing, underwriting, product, and revenue management. Develop and maintain strong relationships with all key vendors. Manage Actuarial annual operating and capital budgets. Oversee and direct pricing of existing and new products, benefits, and group-specific designs. Diversified health care/health insurance experience
Growing boutique healthcare provider needs two FSA level (8 - 15 years). Health Actuary - looking to develop novel supplemental products for the < 65 health conscious. Lead these health initiatives: product design, persuade carrier actuaries to provide competitive pricing for our health-conscious audience, and see through to product implementation and monitoring inforce experience & repeat.
Top national insurance powerhouse seeks an FSA (5+ yrs) as Product Performance Director. Must have LTC experience and prefer some DI experience. Work with sales, marketing, corporate modeling, valuation, claims, and customer service. Evaluate actual and expected analysis. Focus on inforce management of (LTC) insurance block of business other health products in Income, Wealth and Planning segment (DI, CI, and Supplemental Health). Budget for and controlling expenses and long and short-range planning. Direct monitoring and financial analysis of product line profitability (GAAP, value-added, statutory, etc.). Knowledge of insurance products, pricing and marketing philosophies and objectives, risk management. Health and pricing background and Long-Term Care insurance experience is strongly preferred.
Ed supp and health background. Combo of life and health! Strong financial. In charge of monthly and quarterly financial, managing rate increase filings. SUPPLEMENTAL HEALTH.
Leading managed care provider has opening for AVP, Corporate Analytics. Provide analytical, technical, functional and project supervision to Analytics teams and oversight and quality review for all output. Analysis of cost and utilization trends for new initiatives and programs and develop predictive modeling tools and advanced analyses to recommend strategic initiatives. Experience with advanced statistical packages, modelling techniques, and manipulating large data sets in modern tools. Heavy travel.
Global insurer seeks an ASA/FSA/CFA (5+ yrs) as Assoc or AVP-Quant Modeler. Design and implementation of quantitative analytics pertaining to assessment and management of investment strategies and risks. Advance development of company’s next-generation investment platform and enterprise-wide risk system and lead efforts to automate data flow. 5 years Investment Risk Experience (Fixed Income a plus). Deep understanding of fixed income analysis valuation and stress testing for corporate bonds, swaps/options, structured credit, and other assets. Extensive experience in model development/architecture.
Leading global consultancy needs an ASA (6+ yrs) to lead a team creating a model to value the impact of health care reform on a health plan client. Review trend forecasting and predictive modeling tools and assist client to define underwriting policies and reduce selection. Price alternative plan designs and define product strategy. Communicate ROI for medical management and other initiatives to senior level clients, 6+ yrs Health experience. Experience with either. Product design and strategy. Reimbursement models, risk adjustment mechanisms.
Regional healthcare provider needs ASA (Pre) to prepare Medicare Advantage bid. Junior analyst direct report. Experience developing and submitting bids. Work on core actuarial functions: Pricing, Reserving and Forecasting. Develop solutions to quantitative problems and oversee daily operations of staff. Collaborate understanding of workflows and improve cross-departmental communication. Data analysis experience at a decision-making level. Project management skills. 10 years’ experience.
Regional healthcare provider is looking for analyst with SAS and SQL skills that has experience in healthcare. Role is across all lines of business, including Commercial, Medicare, Medicaid, and Reserving.
Insurance leader seeks FSA to lead and execute product design, pricing, financial projections and other financial analyses for Group Long Term Disability. Plans, staffs, directs and controls department activities and identifies and investigates profit and financial problems and opportunities. Develops actuarial assumptions while projecting various product lines. Assist in developing new products for assigned product line. Directs monitoring and financial analysis of product line profitability (GAAP, value-added, statutory, etc.). Knowledge of pricing and marketing objectives, risk management, and operations of insurance companies. Group experience in life, disability, dental and/or vision.
National insurer seeks as ASA (3-6+ yrs) to provide support to pricing and product development area of Actuarial Department on Health, LTC, and Ancillary benefit products. Responsible for (re)pricing of products, experience studies, research on new products, modeling, and implementing new products. Perform pricing of new products and develop or reviews actuarial documentation for filing. Knowledge of reinsurance; GAAP, Stat and Tax Valuation Requirements. Preferred 2+ years’ experience with LTC, Health, Dental, Vision or other ancillary health products.
Major financial services provider seeks as ASA/FSA as Actuary Group Dental/Vision. Lead and execute product design, pricing, financial projections for Group Dental. Manage development of new product rates and re-rating activity, and determination of impact on premiums and/or profits of various product proposals. Develop rate assumptions and manage development of rate scales and detailed rates. In-depth knowledge of actuarial and statistical sciences and economics. Group experience in life, disability, dental and/or vision.
Financial services company seeks an FSA as Supplemental Health Pricing Actuary. Responsible for financial projections and earnings analysis. Lead inforce management data analytics and product development/pricing to create new group Supplemental Health product. Experience with Supplemental Health product, plan designs, services and distribution and in pricing, product development, financial analysis, and financial reporting.
Leading managed healthcare provider has an opening for a SVP – Medical Economics and Customer Analytics Lead for Behavioral and Specialty segments. Lead strategy and delivery of all analytics and reporting. With CFO – Identify key drivers of medical trend and loss ratio, forecast into the future; & with Chief medical officer, clinical and operational leaders – identify and drive activity in support of lowering medical cost; with Business/sales leaders – show case value proposition to prospective and current customers. Develop products that deliver clinical and ROI value. Develop and direct all relevant reporting all audiences. Experience in trend analytics, pricing and/or med econ; as well as demonstrated strong collaboration skills and communication skills.
Managed healthcare provider has opening for Medical Economics Lead. Lead analytic functions in support of cost of care and health plans: Partner with Actuarial and Finance leaders to Identify key drivers of medical trend and loss ratio. Responsible for direction and oversight of reporting and analytics and manage all critical reports and general analysis needed to support strategic decision making. Monitors critical metrics and informs leadership of potential risks.
Managed healthcare leader has an opening for VP Group Pricing. Run all underwriting for HC. A price actuary. Pricing for Medicaid and Commercial Specialty and Behavioral plans, Radiology and Cardiac pricing, Pain Management pricing and new product pricing. Work with both public and private customers.
Top management consulting seeks an ASA/FSA (6+ yrs) as Actuarial AVP/Senior Consultant. Perform strategy and actuarial consulting to include the following: (Benefit strategy, Goal setting, Benchmarking, Plan design, Pricing strategy, Budget setting, Bid/selection projects). Client leadership on targeted clients/prospects. Lead teams & provide technical coaching to team members, provide sign-off on results. Health care industry experience & project management experience.
Global consulting firm seeks a Pre-ASA/ASA (3+ exams, 2-5+ yrs) as Actuarial Analyst or Consultant I. Health care budget rate-setting for self-insured plans including analysis of medical and prescription drug network changes. Perform financial modeling associated with plan design and provider network changes. Assist in costing of scenarios related to health care strategy discussions. Experience in a consulting/insurance environment.
Global insurer seeks an FSA (3+ yrs) Actuary – AVP. Assist VP Actuary in pricing and marketing for Health & Special Risk business and develop business opportunities. Develop and run pricing models for use in pricing various stress scenarios & assist with marketing efforts for new business opportunities. Experience in pricing one or more of the following health products – Medicare, Medicare Advantage, Medicaid, ACO and provider risk.
Major insurance leader seeks an FSA as VP & Actuary – Health Valuation. Manage team of junior Actuaries & lead team to perform SAP, GAAP, and Tax valuation for health products. Responsible for reserve and asset adequacy analysis, valuation model ownership, valuation assumption setting, as well as rating agency and SOA/AAA study support. Direct monitoring and financial analysis of product line. Experience with Health Product pricing, projections or valuation.
Global actuarial consultancy seeks a Pre-ASA/ASA (3-4+ yrs) as an Analyst. Plan design modeling. Contribution modeling, rate setting, budgeting/forecasting, develop and review, request for Proposals.
Major national healthcare provider seeks an ASA/FSA (3+ yrs) as Associate Actuary (Individual Market). Conduct analysis, pricing and risk assessment to estimate financial outcomes. Developing probability tables & research and analyze the impact from legislative changes. Analyze and evaluate required premium rates. Pricing experience. ACA/individual Market experience.
Reginal healthcare provider seeks ASA/FSA (6+ yrs) as Manager – Actuary. Manage quantitative assessment of risk relating to provider contracts, premium rates and IBNR. Identify and analyze internal/external factors for use in pricing, trending, reserving. 2+ years of experience supervising.
Major insurance & financial services provider seeks an FSA (5+ yrs) as VP & Actuary – Senior Health Solutions – Medicare Advantage. Help build a new and innovative Medicare Advantage product. Direct monitoring and financial analysis of product line profitability. Directs all actuarial assumptions. Drive growth and differentiation through design, development and implementation of new products. Experience with Medicare Advantage bid pricing and financial forecasting. Travel.
Top managed healthcare company has an opening for Senior Director Actuarial (5-10+ yrs). Lead full-risk managed health plan programs & establish appropriate reserves for all care expense liabilities. Maintain processes for ongoing forecasting of medical expenses. Experience working in comprehensive managed health care plan environment & in Managed Medicaid and/or Medicare plan preferred. Claims reserving techniques and premium rate development experience.
Managed healthcare provider needs an Actuarial Analyst (2-7+ yrs). Support full-risk managed health programs. Develop/maintain complex models for forecasting of medical expenses. Experience in comprehensive managed health care plan environment & claims reserving techniques and premium rate development.
Major consulting firm seeks an ASA (4+ yrs) as Associate Actuary. Build and/or update spreadsheets, check code, review and document work. Review and analyze statistical data; develop and utilize actuarial models; analyze healthcare costs and utilization data; manage client relationships. Must have two years of Medicare Advantage bid experience or commercial pricing experience.
Leading consulting firm seeks an FSA (5+ yrs) as Actuary. Role with clients including external communications, data collection, providing project updates and answering technical actuarial questions. Review, organize and analyze statistical data; develop and utilize actuarial models; analyze healthcare costs; manage client relationships; write reports. Significant experience in the healthcare field. Must have two years of Medicare Advantage bid experience.
Top managed care organization seeks an ASA (3+ yrs) as Associate Actuary (Medicaid). Analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific actuarial needs and produce reports to aid in developing corporate strategy. Develop probability tables based on statistical data. Evaluate required premium rates. Assess cash reserves and liabilities.
Leading global consultancy seeks ASA/FSA (8+ yrs) as Senior Health & Benefits Consulting Actuary. Perform advanced strategy and actuarial consulting to include Benefit strategy, Goal setting, Benchmarking, Plan design, Pricing strategy, and Budget setting. Anticipate client/project needs and develop alternative solutions. Project management experience.
Leading global provider of risk management, insurance solutions seeks Near ASA to FSA (4-8+ yrs) as Health and Benefits Actuarial Consultant. Assist lead actuary on assigned large accounts and manage/lead smaller actuarial engagements. Assist in strategy development and cost of scenarios related to strategy discussions. Understand and project savings/costs. Perform supporting analysis for IBNP reserve development.
Leading global professional services firm seeks Near ASA/ASA (3+ exams; 2-5+ yrs) as Health and Benefits Actuarial Analyst. Provide support for mid to large corporate accounts with focus on analytics. Responsibilities includes post retirement and post-employment benefits programs. Conduct accounting claims, costings, and periodic experience updates. Review group insurance contracts, agreements, and employee booklets. Experience in a consulting/insurance environment.
Financial services leader seeks an FSA as Product Performance Director – Medicare Advantage. Build new Medicare Advantage product to drive better quality. Ensure effective development of adequate product rates for marketing efforts. Identify and investigate profit and financial problems and opportunities. Must have Med A and PDP experience. Knowledge of pricing and marketing objectives, risk management, and a broad background in the operations of insurance companies.
Major financial services provider seeks an FSA as Managing Actuary – Group Product Performance. Lead product design, pricing, financial projections and other financial analyses to assure achievement of corporate profit, growth, information and objectives. Manage new product rates and re-rating activity and impact on profits. Prepare actuarial memoranda for filing with state insurance departments. Group experience in life or disability. Extensive experience in the development of financial reports.
Premier healthcare provider seeks a Pre-ASA/ASA (2+ yrs, 3+ exams) as a Senior Actuarial Analyst. Assist in financial analysis, pricing risk assessment and with developing probability tables based on statistical data. Evaluate required premium rates & assess cash reserves and liabilities.
Leading global consultancy seeks ASA/FSA (4+ yrs) as Health Actuary Senior Consultant. Provide strategic and technical consulting services to health plans, providers, & Federal and State governments. Responsibilities include: Individual medical and small group health care reform modeling. Assist clients to define underwriting policies and perform risk score analysis. Price alternative plan designs and define product strategy. Product strategy experience.
National healthcare provider seeks an ASA (5-7+ yrs) as Actuary. Lead actuarial studies and analyses. Apply techniques and analysis to insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, & predictive modeling. Industry knowledge and experience.
Premier national insurance company seeks an ASA (4+ yrs) as Assistant Actuary. Recent LTC experience; good communication skills.
Insurance leader seeks an FSA (4+ yrs) as Director Actuary responsible for pricing A&H new products. Manage portfolio profitability and drive enhancements to pricing framework. Analyze emerging experience, monitor marketplace trends, and identify issues. Lead development of tools to support pricing, underwriting and business. Prepare financial reports and projections.
Regional healthcare provider seeks an ASA/FSA (10+ yrs) as Actuarial Director. Must have health experience. Responsible for being Actuarial subject matter expert for a select group of customers within Market Segment. Design and direct analytics & reports that produce key metrics, highlight areas to create value and identify new opportunities for value creation. Identify potential future opportunities. Identify customer themes, analyze data and make recommendations for future improvements. Supervise analysis of healthcare spend and utilization patterns.
Major insurance provider seeks an Assistant Actuary, ASA (5+ yrs). Coordinate and perform actuarial tasks to support product pricing, experience analysis, reserving, & modelling. Determine appropriate assumptions & calculate premiums or reserves for new or existing products. Experience with supplemental accident and health products. Experience with asset share models, experience analysis, product development and pricing.
Top managed care provider needs an ASA (3+ yrs) Associate Actuary (Individual Market). Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage actuarial needs and produce reports to aid in developing corporate strategy. Develop probability tables & analyze required premium rates.
Managed care provider seeks an Actuary (Individual Market). Conduct analysis, pricing and risk assessment to estimate financial outcomes. Develop probability tables based and review insurance plans and calculate premium rates. Ensure cash reserves and liabilities enable payment. Participate in merger and acquisition analysis.
Leading management consultancy seeks ASA/FSA (10+ yrs) as Sr Healthcare Actuary. Focus on delivery high quality consulting and actuarial work to maintain and grow client portfolio. Serve as lead or supporting financial expert in client meetings. Extensive health and welfare consulting experience. Project/client/financial management and Business development experience.
National managed care provider seeks a Pre-ASA/ASA (3-5 yrs; 1+ exam) as a Sr. Analyst – Actuary. Support company’s financial and growth goals. Assist in development of underwriting and pricing proposals for all Products, across all their lifetime cycles for both Current and Prospective clients. Update actuarial pricing, reserving and forecasting models. Establish consistent actuarial standards, methodologies and practices. Strong SQL & Tableau experience is required. Experience in healthcare industry.
National managed care provider seeks an ASA/FSA (7+ yrs) as Director Actuary. Responsible for forecasting financial risk for underwriting, pricing and IBNR reserve analyses; including new business underwriting and pricing, development and modeling of provider risk based contracts, and analytical support for post-acute care product development. Manages small team. Supports the Post-Acute product sales.
Global insurance provider seeks ASA (1-5 yrs). Some health insurance modeling/experience preferred. Rotational position. Assisting the VP & Actuary in the management, financial reporting, and forecasting of the Health and Special Risk business. Develop, maintain, and run models for use in forecasting, financial reporting, calculation of economic capital, and determination of embedded value. Assist with quarterly financial reporting. Minimum of two actuarial exams from the Society of Actuaries with the intent to be credentialed. Knowledge on IFRS and Solvency II reporting. MoSes experience.
Global healthcare company seeks an FSA (10+ yrs) Senior Actuary. Lead internal cross-functional teams. Provide strategic and technical leadership on US commercial and HEOR/medical teams to support regulatory, reimbursement and commercial success of compounds in US across various commercial and government payers and intermediaries. Drive development of financial-based claims analysis. Provide strategic guidance regarding the annual Part D bid submission process, revenue/profitability analysis. Consultant with broad industry experience. 5-7 years significant experience in healthcare field. 2 years Medicare Advantage bid experience. Strong understanding of the evolving US health care marketplace.
Regional health insurer has opening at several levels. Identify, design, recommend, and execute solutions to deliver actionable information to customers. LEVEL 1: Analyze data on a book of business, Develop processes, write programs and/or create databases. 1 year experience. LEVEL 2: Analyze healthcare data on a book of business. Serve as an internal technical and analytic. 3 years experience. LEVEL 3: Research, create analyses and recommendations. Plan and lead projects from inception to completion. 4 years experience. Experience working for a healthcare organization. Intermediate proficiency in database, presentation. Broad understanding of health insurance terms and concepts.
Major Global consulting firm has a need for a Senior Health Actuary (6+ yrs experience). Longstanding growing practice.
Healthcare provider seeks an FSA (5+ yrs). Involved in pricing and pd (self insured, fully insured, commercial, med advantage and exchange products), fee schedules, analytics work, setting reserves, etc. Small health plan with lots of exposure and freedom.
Top consulting company seeks an FSA (5+yrs) as a consulting Healthcare Actuary.
• captive feasibility studies, design, rate and underwrite self-insured medical stop-loss programs
• prepare financial projections including stochastic modeling
• reserve and valuation of employee benefit health, life and disability coverages
• Life/Disability/Health and or Other benefit experience
Consultancy seeks an FSA (5+yrs) as Pension Actuary. Retiree medical valuations, conduct retirement plan reviews, Develop retiree medical and pension funding solutions. Retiree Medical experience is required. Strong proficiency with Microsoft Excel, Word and PowerPoint.
Premiere financial services powerhouse has an opening for a VP Health Actuary (broad health background with strong Valuation experience and some pricing). Perform SAP, GAAP, and Tax valuation for companies' health products. Responsible for reserve and asset adequacy analysis, valuation model ownership. Design, develop and implement new products. Oversee investigation of profit and financial issues and opportunities. 2 direct reports. Experience with Health Product pricing, projections or valuation. Experience with Medicare Advantage.
Managed healthcare provider seeks a Health Consultant, Senior Director (ASA/FSA/CPA). Responsible for management of financial results and operations for an assigned SBU. Responsible for management of financial results for assigned customers, support of profitable sales growth and driving strategic initiatives. Analyze monthly financial results, conduct periodic forecasts of current year profitability and develop annual budget for all assigned customers. Experience within managed care or health care. Experience with direct contract negotiations of financial terms.
Managed healthcare company seeks an ASA/FSA (3+ yrs) as a Health Actuary. Managed care (MCO) experience. Work cross-functionally with local health plan operations teams to provide insight and strategy to adjust to changing market trends. Provide contract analysis of referrals and membership enrollments as well as recommendations for contract terms. SQL and Excel skills are critical for this role. Analyze business impact on care costs. Measure, present, and communicate care cost results for entire medical spend. Design reporting tools to support the identification of care cost risks and opportunities. Experience manipulating large data sets Medicaid knowledge.
Global consulting firm has an opening for a Healthcare Actuarial Analyst. Conduct and review financial analyses for employer group health plans. Leverage existing models to produce analyses such as healthcare budgets, premium equivalents, contribution scenarios, plan designs impact, reserves. Prepare deliverables to convey financial results to clients.
Large health provider needs ASA 5+ years to manage Actuarial Analysts and/or Senior Actuarial Analysts in the development, maintenance and improvement of models used to inform pricing decisions and communication of financial results for internal and external stakeholders. Managing the implementation, maintenance and critical review of models, studies and systems for the purposes of pricing, underwriting, statistics, reserving, forecasting.
Major financial services provider is looking for FSA health pricing to cover all product lines: Life, Health, Annuity, and Retirement Plans. Product Engineer lead and support use data customer to guide decisions and strategies for placing products in the market. Guide inputs to produce a salable whole product. Development of the minimally viable product (MVP). 8-14 years’ experience. Pricing and/or product development experience individual and group supplemental and voluntary benefit health products.
Leading healthcare provider seeks ASA to be responsible for managing the implementation, maintenance and review and analysis of models, studies and systems for the purposes of pricing, underwriting, statistics, reserving, forecasting. Developing complicated models and teaching others how to develop models. 4 years of experience in the health insurance.
Leading managed healthcare provider seeks a Pre-ASA (1-2+ exams) as an Actuarial Analyst. Develop and update actuarial models in Microsoft Excel and VBA for Excel and perform database queries. Build robust analytical models and processes. Strong in Microsoft Excel. Periodic travel. Health insurance internship experience.
Leading managed healthcare provider seeks an ASA/FSA (6+yrs) as an Actuarial Pricing Manager. Support provider contracting and expansion market bids, including management of relationship with external consultants. Manage expansion market provider reporting efforts and assist in developing long term strategy for bid development. Manage 1-2 actuarial students. 3+ years’ experience with health pricing.
Leading managed healthcare provider seeks Pre ASA (1+ exam). Develop and update actuarial models in Microsoft Excel and VBA for Excel. Build robust analytical models and processes. Participate in the Medicare Advantage and Part D bidding processes. Support the defense of pricing assumptions for annual audits and support monthly reserve setting process.
Major healthcare provider seeks ASA responsible for developing pricing, forecasting, and developing new analytics for Medicare Advantage products. Responsible for managing the implementation, maintenance and critical review and analysis of models, studies and systems. Experience in health insurance or related field.
Leading healthcare provider wants ASA responsible for performing analysis; and assisting in design of pricing, underwriting, statistical, and reserving systems for assigned lines of business. 2 years actuarial experience. Experience preparing financial and rate filings.
Healthcare provider wants ASA responsible for managing the implementation, maintenance and critical review and analysis of models, studies and systems for the purposes of pricing, underwriting, statistics, reserving, forecasting and other developing complicated models and teaching others how to develop models.
Healthcare provider seeks ASA as Sr. Actuarial Analyst. Responsible for performing specific actuarial related tasks. Perform routine tasks, basic analyses and reasonableness testing. Prepare actuarial exhibits and regular reports. Utilize data management and structure techniques.
Leading health care provider seeks an ASA responsible for managing the implementation, maintenance and review of systems for the purposes of pricing, underwriting, statistics, reserving, forecasting. Experience in the health insurance field. PC proficiency.
Major insurer needs an FSA (8+ yrs) to support group. Disability or LTC Valuation experience preferred. Leading employee benefits provider. Responsible for establishing valuation assumptions and methodologies for GAAP, Statutory and Tax reporting and monitoring emerging experience. Supports annual reporting for reserve adequacy and cash flow testing and quarterly and annual financial reporting functions. Establish assumptions for valuing liabilities and DAC assets and monitor experience and changes in pricing views. Support periodic reporting and modeling of the business for financial planning. Disability or Long Term Care valuation experience preferred.
Leading National insurer seeks an FSA/CPA (10+ yrs) as CFO – Individual Disability. Oversee pricing, planning and valuation. Individual Disability Line of Business. Provide comprehensive financial support, pricing, valuation, value creation and overall profitability of the IDI Recently Issued and IDI Closed Block of Businesses. Responsibility for financial and pricing management of assigned line of business. Responsibility over valuation activities including determining appropriate reserve levels (GAAP, Statutory and Tax) and reserve adequacy analysis and recommendations.
Global consultancy seeks an ASA/FSA (6-10+yrs) as AVP Health Actuary. Mentor less experienced actuaries and project savings/costs related to health benefits and applicable changes. Review health care budgets and contribution setting. Assist in benchmarking discussions. Review models to evaluate cost-saving scenarios. Health actuarial work experience.
Global consulting firm seeks an ASA as Associate Actuary. Perform data analysis using Excel, assist with consulting for various health insurance work areas such as Pricing, Reserving, Financial Projections, and Mergers and Acquisitions. Assist with research and product development. Thorough understanding of Microsoft Excel.
Managed healthcare company seeks an ASA/FSA (6+yrs) as senior actuarial analyst. Perform or support Medicare Star rating and risk score receivable tracking, forecasting, and analysis. Design, perform, or support actuarial pricing related to annual bid and rate fillings. Analyze data for financial and utilization analysis, reporting, and monitoring. Develop or support the development of pricing models and support pricing requests. Experience with SAS. Requires in-depth knowledge of the healthcare industry and senior market products.
Managed healthcare provider seeks an ASA/FSA (6+yrs). Support Medicare Advantage and Medigap product development, forecasting, and financial analysis. Manage Pricing/Bid/Filling processes, ensuring compliance with all federal and state regulations. Medicare experience preferred.
Global consulting firm seeks an ASA/FSA (4+ yrs) as Health Actuary Senior Consultant for individual medical and small group health care reform modeling. Assist clients to define underwriting policies and perform risk score analysis to reduce selection. Price alternative plan designs and define product strategy. Align provider contracting strategy with rating trends. Experience with: Product design and/or product strategy, Reimbursement models, Risk adjustment mechanisms. Familiarity with group insurance products.
Leading global consultancy seeks ASA/FSA (6+ yrs; 5+ exams) as Health Actuary Manager. Provide strategic and technical consulting services to health plans, providers, Federal and State governments. Lead team creating model to value impact of health care reform on an health plan client. Review trend forecasting and predictive modeling tools & price alternative plan designs and define product strategy. Up to 80% travel required. Experience with: Product design and/or product strategy, Reimbursement models, & Risk adjustment mechanisms.
Health insurance provider seeks an ASA/FSA (8+ yrs) as Senior Associate Actuary. Lead portfolio of initiatives to support pricing, medical trend and revenue analytics for Senior Products. Work in multi-departmental teams to support project assignments. Recruit, train, develop and supervise analyst and/or management-level staff & assist in translating corporate and department goals into specific initiatives. Defines key objectives of technical processes developed. Designs and builds technical processes. Healthcare experience.
National managed care leader seeks an ASA (5+ yrs) as Senior Managing Actuary. Report financials on a post-risk adjustment basis, primary contact for questions about risk score usage, and develop models to assist in projecting risk and membership migration. Manage team. Develop and maintain new models to inform assumptions, communicate financial results, study risk score correlations and improve usage. Manage implementation, maintenance and critical review and analysis of models, studies and systems.
Leading global professional services company has opening for Manager Health Actuary. Understand GAAP and statutory valuation bases. Methodologies. Assumption setting. Reserve analyses such as IBNR ranges. Pricing of health insurance products. Familiarity with typical regulatory bodies (like the NAIC or CMS). Project and people management. Willingness to travel.
Major managed healthcare organization seeks an ASA (5+ yrs) as Sr Managing Actuary. Manage implementation, maintenance and critical review and analysis of models, studies and systems for pricing, underwriting, statistics, reserving, and forecasting. Develop models and teach others how to develop models. Experience in health insurance or related field. Verbal and written communications skills required to prepare documentation, facilitate training and development, and participate in presentations.
Leading managed healthcare company needs candidate to manage implementation, maintenance and critical review and analysis of models, studies and systems for pricing, underwriting, statistics, reserving, and forecasting. Develop models and teach others how to develop models; develop written and oral presentations that drive delivery of information for decision making; and managing day-to day projects. Experience in the health insurance field. PC proficiency.
National managed healthcare company seeks a Pre-ASA/ASA (6 exam; 2+ yrs) to perform analysis; and assist in design of pricing, underwriting, statistical, and reserving systems for assigned lines of business. Experience preparing financial and rate filings. PC proficiency. Group Health actuarial experience preferred.
Global consultancy seeks FSA (8+ yrs) as Life Actuarial Services Director. Direct actuarial subject matter, especially in Life and Non-Life industry and regulatory developments. Direct efforts to identify and address client needs & prepare and present complex written and verbal materials. Define resource requirements, project workflow, budgets, billing, collection. Experience with using spreadsheets, database and other software-related technologies.
Managed healthcare major provider seeks an ASA/FSA (5+ yrs) as Actuarial Analyst IV. Support Medicare Star rating and risk score receivable tracking, forecasting, and analysis. Design or perform actuarial pricing, annual bid and rate fillings. Analyze data to use for financial and utilization analysis, reporting, and monitoring (including IBNR). Support the development of pricing models and pricing requests. Requires in-depth knowledge of the healthcare industry and Senior market products
Managed healthcare company seeks ASA/FSA (6+ yrs) as an Actuary Manager. Conduct research, validate data and make recommendations. Manage performance of major actuarial functions, planning, problem solving, staff development, communication of actuarial procedures. Medicare experience preferred.
Managed care provider seeks a Pre-ASA/ASA (3+ exams). Perform routine tasks, basic analyses and reasonableness testing. Prepare actuarial exhibits and regular reports as directed utilizing corporate financial data.
Premier managed healthcare provider needs an Analytics Manager. Analyze business impact on care costs from medical action plans, product development, program evaluation, population management, and general sales proof points. Oversee organization and reporting of medical care cost results. Design and develop reporting tools to measure, monitor, and communicate care results, and support identification of care cost risks and opportunities.
Leading global financial services provider seeks Near ASA to FSA (4-8+ yrs) as Health and Benefits Actuarial Consultant. Assist lead actuary and consultants on large accounts and manage/lead smaller actuarial engagements. Assist in strategy development and costing of scenarios and identify relevant cost measures. Develop models to evaluate cost-saving scenarios. Health and Benefits/Welfare actuarial background. Previous experience at a Human Resources Consulting firm.
Large global insurance organization seeks a Pre ASA/ASA/FSA as Health & Special Risk Actuary. Assist with pricing, reserving, underwriting and business analysis for health, accident, group life and special risk products. Review of inforce business to assure continued profitability. Experience in Health, Accident, group life or special risk product pricing also desired.
Major insurance company seeks an FSA (4+ yrs) as Director, Actuary. Focus on strategic direction of large case underwriting and pricing. Partner with underwriting and finance to prioritize initiatives and manage results. Oversee reserve, expense, and profit assumptions of experience rating formulas. Analyze emerging experience & monitor marketplace trends. Develop analysis framework and recommend enhancements.
Managed healthcare provider seeks an FSA (6+ yrs) as Actuarial Manager or Director – Financial Reporting. Involved in “monthly forward” cycle, work closely with the finance team. Manage all aspects Monthly Close process & current reserving practices. Participate in Medicare Advantage and Part D bidding processes. Support defense of pricing assumptions for annual audits. Experience managing staff. Solid financial reporting experience.
Managed care provider seeks an ASA/FSA (5+ yrs) as Manager, Actuarial Services. Work on contract analytics with payer relations and network relations & communicate with management on project status, direction, and resources. Issue Actuarial Opinions related to pricing, health plan contracts, network contract rates, & ensure compliance. Experience working in the health insurance industry, Medicare Advantage, & Medicaid. Medicare bid experience/Medicare pricing experience.
Large healthcare provider seeks an ASA (5+ yrs) as Senior Managing Actuary. Manage, maintain, and analyze models, studies and systems for pricing, underwriting, statistics, reserving, and forecasting. Develop models and teach others how to develop models. Experience in the health insurance.
Prestige consulting firm needs Senior Consultant to handle clients in specific region in growing practice. Must be client facing, and ideally have strong data analytics. Consulting experience a must.
Leading healthcare provider seeks Senior Director Medical Economics to provide financial guidance to emerging medical cost results and interpretation. Develop processes for the ongoing monitoring of medical costs. Strategic guidance to local health plan leadership teams on medical costs. Experience in managed Medicaid preferred. Familiarity with typical uses of risk adjustment methodologies & ability to maintain complex cost modeling tools. Familiarity with typical Medicare & Medicaid provider reimbursement mechanisms.
Top managed healthcare provider seeks an ASA (4+ yrs) as Managing Actuary. Manage implementation, maintenance and critical review and analysis of models, studies and systems for pricing, underwriting, statistics, reserving, forecasting; developing complicated models. Teach others how to develop models.
Managed healthcare provider seeks a Pre-ASA/ASA (3+ exams, 2+ yrs) as Senior Actuarial Analyst. Maintain and analyze models, studies and systems for pricing, underwriting, statistics, reserving, forecasting and other functions. Run complicated models and perform detailed analysis of results. Health insurance experience.
Managed healthcare provider seeks an ASA/FSA (10+ yrs) as Health Actuary. Strategic leadership, process improvement and analytical best practices for the Actuarial Dept. Responsibilities include pricing and rate negotiations, claim reserving, forecasting, budgeting, financial reporting support and analysis. Lead role to build out department and drive company strategy on all aspects of rate and other negotiations. Experience in Medicaid and/or MA business, rate negotiations, ACA provisions affecting Medicaid.
Regional healthcare company seeks an ASA (4+ yrs) as Managing Actuary. Implement and critically analyze models, studies, and systems for the purpose of pricing, underwriting, statistics, reserving, and forecasting.
Regional healthcare provider opportunistically seeking a talented Health Actuary for fast growing dynamic organization.
Leading global consultancy seeks an ASA/FSA (4+ yrs; 4 exams) Consulting Health Actuary Senior Consultant. Assist in providing strategic and technical consulting services to health plans, providers, Federal and State governments, PBMs, etc. Individual medical and small group health care reform modeling for health plans. Assist clients to define underwriting policies and perform risk score analysis. Price alternative plan designs and define product strategy. Travel.
Top national insurer seeks an ASA/FSA (6-10+ yrs). Prepare and file actuarial material with states for various products. Provide product insights and analyses, experience reports, pricing strategies, pricing tools. Provide pricing and risk evaluation support for reinsurance and profit share contracts. Minimum 3 years in managerial role. 3 direct reports
Leading healthcare provider seeks an ASA/FSA (5+ yrs) as Senior Associate, Actuarial & Analytics. Analyze claims, census, and provider data, repricing, and network analyses. Conduct preliminary analyses to assess quality, completeness and integrity of source data. Experience with healthcare claims data and provider network analytics. Familiarity with commercial hospital, physician, and ancillary contracting. Experience in performing quantitative data analysis including trend driver analysis, risk stratification, data validation, predictive modeling, and repricing.
Global consulting firm wants an ASA/FSA (8+ yrs). Lead advisory projects for health industry clients. Help shape the delivery of services to provider and payer clients. Assist with project planning & development of deliverables. Leadership role. Strong understanding of health insurance products, markets. Travel. Experience working with providers and/or insurers. Member of the American Academy of Actuaries.
Global consultancy seeks a Pre-ASA/ASA (3+ yrs) as Associate/Senior Associate in Risk Strategy & Compliance – Risk Analytics. Provide technical support to actuarial group & audit support functions. Perform the recalculation of actuarial values and support health insurance clients. Develop and project actuarial models. A minimum of one year of experience with U.S. GAAP statutory financial reporting.
Global consultancy needs an ASA to provide technical support to the actuarial management group. Provide audit support functions on advisory projects & perform recalculation of actuarial values and support health insurance clients. Develop and project actuarial models. One year of experience with U.S. GAAP statutory financial reporting. ASA (3+ yrs, passed 2 exams). Strong understanding of health insurance products. Travel.
Healthcare provider seeks an ASA/FSA (7+ yrs) to improve analytics and business decision support, information and processes on various aspects of Medicare Line of Business. Provide subject matter analyses in support of recommendations to Actuarial management. Qualified to be signing actuary for MA bids if necessary. Key role in rebuilding, developing and managing part of the Actuarial department. Primary focus on establishing actuarial expertise and process for the MA business. Work with multiple departments to present actuarial perspective in coordinating improved information flow and tools. Sound understanding of actuarial principles underlying reserving, pricing, forecasting and analysis. Demonstrated experience in model building.
Premier global consulting firm seeks ASA/FSA (5+ yrs) as Consultant – Healthcare Actuarial. Significant experience with statistical software packages and in segmentation analysis. Assist with book-of-business tear-downs, risk adjustment analytics, and Medicare growth and models. Build and implement models to optimize clients’ growth and profitability.
National healthcare provider has an opening for a Healthcare Data Analyst (9+ yrs). Design, implement, and coordinate complex risk arrangements and contract analysis. Lead advanced strategic analysis of revenue, medical expense, and population risk assessments and adjustments for multiple geographic regions. Healthcare insurer experience.
International health insurer seeks a Pre-ASA/ASA (1-2+ exams; 3-5+ yrs) as an Assistant Actuary. Assist Chief Actuary in day to day Actuarial and Financial functions. Work with IT on actuarial data and reports. Create and maintain experience studies for all portfolios. Assist in development of key assumptions for financial planning area.
Leading healthcare provider needs an Associate General Manager (5-7+ yrs). Drive all clinical, quality, growth and financial outcomes for operations. Devise strategies and execute strategic plans that drive efficiency, maximize clinical outcomes, grow and retain the patient base, maximize profitability, and sustain strong, long-term relationships.
Top managed healthcare leader seeks VP, Analytics – Medical Economics-Commercial Markets (10-15+ yrs). Responsible for medical cost management in commercial markets including health plans, employers and providers. Oversee creation and maintenance of comprehensive knowledge base. Knowledge of Microsoft Excel and basic understanding of SQL codes and programming. Medical claims data, exposure to accounting, underwriting and claims-based, cost of care analytics.
Large health insurance provider seeks an ASA (4+ yrs) as Managing Actuary. Responsible for managing the implementation, maintenance and analysis of models, studies and systems for pricing, underwriting, statistics, reserving, forecasting; developing complicated models. Develop written and oral presentations. Experience in the health insurance field.
Health insurance leader seeks Pre-ASA/ASA (3+ exams, 2+ yrs) as Sr Actuarial Analyst. Participate in implementation, maintenance and analysis of models, studies and systems. Run and develop complicated models and perform detailed analysis. Experience in health insurance field.
Large healthcare organization needs an ASA/Recent FSA (5+ yrs). Responsible for the control of pricing, underwriting, statistical, and reserve systems for lines of business. Assume responsibility for a product, market segment, or line of business. Experience in at least 3 areas: pricing; underwriting; statistical modeling; analytics; networks; & forecasting. Group Health actuarial experience a must.
Major health provider seeks an ASA/FSA (7+ yrs). Conduct analysis, pricing and risk assessment to estimate financial outcomes. Develop probability tables & review insurance plans and calculate premium rates. Ensure cash reserves and liabilities of future benefits. Participate in merger and acquisition analysis. Commercial and/or Individual Pricing experience preferred.
Managed care provider needs an ASA (3+ yrs) with experience in ACA pricing, any type of Health pricing background. New role on Pricing team.
Managed care powerhouse seeks an ASA/FSA (12+ yrs) as Senior Actuarial Director. Manage staff identifying and solving problems in subset or segment of Major Product Group. Originate and evaluate new product ideas, and price existing products. Seven (7) years management experience. Understanding of health care cost structures & knowledge of key markets segments & government programs.
National healthcare provider seeks an ASA (5+ yrs) as a Senior Associate. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage plan specific needs and produce reports to aid in developing corporate strategy. Analyze impact from legislative changes & evaluate required premium rates.
Top managed care provider seeks an ASA/FSA (4-5+ yrs) as an Associate Actuary. Responsible for controlling pricing, underwriting, statistical, and reserve systems for assigned lines of business. Experience in at least 3 areas: actuarial pricing; underwriting; statistical modeling; analytics; networks; forecasting; and reserve systems. Group Health actuarial experience.
Regional healthcare benefits provider seeks an ASA as an Actuarial Associate. Implement and analyze pricing, underwriting, statistical, and reserving systems for assigned lines of business, and design and maintain reports. PC proficiency. Group health actuarial experience.
Global consultancy seeks an ASA or near with 2-3 years health insurance experience. Minimum of 2 exams up to ASA. Advanced knowledge of Excel and knowledge of SAS a plus.
Large healthcare provider seeks an ASA/FSA (5+ yrs) as Senior Analyst. Perform or support Medicare Star rating and risk score receivable tracking, forecasting, and analysis. Design & support actuarial pricing and activities related to annual bid and rate fillings. Analyze data for financial, utilization analysis, & reporting. Manage staff. Expert knowledge of Excel required & experience with SAS. In-depth knowledge of the healthcare industry and Senior market products.
National healthcare company seeks an ASA (10+ yrs) as Director, Actuarial. Responsible for overall management and technical oversight of actuarial staff activities with pricing and rate development. Oversee preparation of rate filings for large group, small group, direct pay, or senior products. Provide advanced support for the claim reserve process. 5 or more years of management experience.
Leading global consulting firm seeks an ASA/FSA (6+ yrs) as Health Actuary Manager. Provide strategic and technical consulting to health plans, providers, Federal and State governments, PBMs, etc. Value the impact of health care reform on client health plans. Help clients to define underwriting policies to reduce selection & price alternative plan designs. Experience with product design. Reimbursement models – including value based care/ACO modeling. Risk adjustment mechanisms.
Top healthcare provider seeks an ASA/FSA (10+ yrs) as Director, Actuarial Services. Conduct analysis, pricing and risk assessment for financial outcomes. Analyze claims and utilize data warehousing tools in support of Medicare line of business. Review health plan experience and identify trends. 2+ years of Medicaid experience. Previous management experience. Understanding of database systems.
Premier insurance company seeks an ASA/FSA (3+ yrs) as Health and Special Risk Manager. Responsible for pricing, reserving, underwriting and analysis for health, accident, group life and special risk products for new and renewal business lines of business. Develop assumptions, financial projection models. Oversight of analysis, modelling, and underwriting. Experience in Health (Medical). Accident, group life or special risk product pricing. Group underwriting experience preferred.
Top healthcare provider seeks an ASA/FSA (5+ yrs) as Manager, Actuarial Services. Conduct analysis, pricing and risk assessment to estimate financial outcomes & negotiate capitation rates with State agencies. Oversee health plan experience, identify trends and recommend improvements. Must have Healthcare/Managed Care experience, Leadership experience, Medicare or Commercial experience preferred.
Global consultancy seeks an ASA (2-3 yrs) ACA experience as Actuarial Analyst – Senior. Responsibilities are pricing and preparation of Affordable Care Act filings for clients. Develop assumptions, rates, & supporting documents in order to ensure successful approval of ACA filings. Work closely with consultants in development of these filings. Visible role with clients. Strong technical skills, advanced knowledge of the ACA and all applicable rules and regulations. Strong knowledge of the individual and small group marketplaces.
Global consultancy seeks an ASA/FSA as Health Actuary Consulting Senior Manager. Lead team creating model value impact of health care reform. Design leading edge medical and pharmacy products. Price medical, pharmacy, dental, and vision benefits. Develop / identify cost savings opportunities for state Medicaid programs. Health actuary experience. Experience managing staff.
Healthcare provider seeks VP of Reserving. Maintenance of reserves, adequacy medical cost accruals for all risk business. Manage team of 5-7 & actuarial aspects of financial audits and reporting on financial results. Lead monthly reserving process & maintain and improve capabilities of reserving models. Experience in either pricing, medical economics or financial planning. Experience in managing teams.
Behavioral healthcare provider seeks an ASA/FSA (10+ yrs) as VP of Underwriting. Monitor experience of assigned regions in all lines of business. Maintain understanding of regional P&L. Develop and maintain admin cost models for all accounts. Develop new business pricing and renewal pricing for key market accounts. Leads development and maintenance of pricing models. Pricing, underwriting or financial planning experience. Experience underwriting large accounts preferred.
Major healthcare provider seeks an ASA/FSA (5+ yrs) as Manager, Actuarial Services – commercial pricing in ACA markets. Conduct analysis, pricing and risk assessment to estimate financial outcomes & negotiate capitation rates with State agencies. Oversee health plan experience & identify trends and recommend improvements. Some pricing background is important.
Global consulting firm seeks an FSA (5+ yrs) as Actuary. Provide guidance for junior staff. Organize and analyze statistical data; develop and utilize actuarial models; analyze healthcare costs and utilization data. Significant experience in healthcare field. Must have two years of Medicare Advantage bid experience.
Major consulting firm seeks an ASA (4+ yrs) as an Associate Actuary. Contribute to client projects through building and updating spreadsheets, programming and checking code, reviewing and documenting work. Organize and analyze statistical data; develop and utilize actuarial models; analyze healthcare costs. Must have two years Medicare Advantage bid experience or commercial pricing experience.
Healthcare organization seeks Pre-ASA (3+ exams) as a Senior Actuarial Assistant. Financial analysis, pricing and risk assessment to estimate outcomes and develop probability tables. Evaluate required premium rates. Assess cash reserves and liabilities. Experience in an HMO/health care environment.
Healthcare provider seeks ASA/FSA (5+ yrs) as Manager, Actuarial Services. Analysis, pricing and risk assessment to estimate financial outcomes. Negotiate capitation rates with State agencies & oversee health plan experience, & identify trends. Identify new business opportunities. 2 years of Medicaid experience required.
Healthcare leader seeks ASA as an Associate Actuary. Analysis, pricing and risk assessment to estimate financial outcomes. Manage at least 1 health plan & research and analyze the impact from legislative changes. Healthcare/managed care experience.
Healthcare insurer wants a near ASA to provide actuarial management information necessary to keep the corporation financially sound. Perform actuarial research, experience studies, & statistical analyses. Develop and analyze rates, reserves, provider contract terms, etc. Two years applicable work experience in an HMO/health care environment.
Healthcare leader seeks an ASA to support Medicare bid season and pricing. Conduct financial forecasting, analysis, pricing and risk assessment to estimate financial outcomes. Develop forecasting models based on statistical data. Review insurance plans and calculate required premium rates. Actuarial experience in health Insurance and/or Medicare experience.
Health insurer wants an ASA to serve as the main point of contact for all actuarial related activities for multiple health plans. Develop probability tables based on analysis of statistical data. Research and analyze the impact from legislative changes. Analyze and evaluate required premium rates.
Top healthcare provider seeks ASA/FSA to provide pricing and risk assessment to estimate financial outcomes. Develop probability tables based on analysis of statistical data. Review insurance plans and calculate required premium. Determine equitable basis for distributing money for insurance benefits. 2+ years of Medicaid experience. Managed care strongly preferred.
Health leader needs an ASA/FSA to conduct analysis, pricing and risk assessment to estimate financial outcomes. Develop probability tables based on analysis of statistical data. Review insurance plans and calculate required premium rates. Ensure cash reserves and liabilities enable payment of future benefits.
Major healthcare provider wants an ASA for a non-traditional position supporting Clinical Operations, Cost of Care and Utilization. Use data to problem solve and identify trends. Composing presentations & PC experience. Group Health actuarial experience.
Leading managed healthcare provider seeks Pre-ASA/ASA (3-6+ yrs) as a Actuarial Analyst II / Senior Analyst. Design actuarial modeling approaches to solve problems. Develop and update actuarial models in Microsoft Excel and VBA for Excel. Participate in the Medicare Advantage and Part D bidding processes. Assist in pricing of employer-provided retiree coverage.
Top managed healthcare provider seeks a career ASA/FSA for pharmacy pricing part D.
Top managed healthcare company seeks a Pre-ASA/ASA (6+ exams, 2+ yrs) as Senior Actuarial Associate. Government Programs supporting Medicare Part C individual medical bids and group quotes. Experience preparing financial and rate filings. Preferred: Group Health actuarial experience. Experience in Medicare.
Managed healthcare provider seeks ASA as Assistant Actuary. Support Medicare Part D products, part of Government Programs line of business.
Global consulting firm seeks near ASA/ASA (7+ yrs) as Consultant with health experience.
Financial services provider seek a near ASA/FSA (3+ yrs) to support in-force rate action pricing initiatives of Long Term Care insurance products. Assist with building and maintaining pricing models & develop tools to aid in the pricing of Long Term Care products. Pricing experience with Long Term Care insurance.
National financial services provider seeks an ASA/FSA (10+ yrs) as Sr Managing Actuary – Valuation. Perform and manage valuation and projection for Supplemental Health business. Support financial planning process, GAAP recoverability analysis, statutory asset adequacy, and premium deficiency analysis. Develop implementation of project plans to manage health valuation initiatives. Health valuation experience.
National healthcare provider seeks a Pre-ASA/ASA/FSA (10+ yrs). Lead Medicare Bid process, including internal modelling, and coordinate within and with external consultants. Develop trends, benefit relativities and other components of Bid Pricing Tool. Ensure compliance with policies and procedures.
Leading healthcare company seeks an ASA/FSA (5+ yrs) as a Senior Level Analyst. Perform analytical studies related to Trend Analysis, Prescription Drugs Analysis and “non-Standard Provider Arrangement”. Analyze data for financial and utilization analysis. Provide insight to emerging cost trend, population risk, and variances to expected results.
Large healthcare insurer seeks a Pre-ASA/ASA (2 exams, 2-10 yrs) as an Actuarial Analyst. Develop rate or Medicare bid filings through analysis of benefit designs & claims experience. Prepare accurate and timely trend analyses for lines of business. Develops preliminary reserve estimates. Develop corrective action to Data Warehouse integrity issues. Develop rates, rating factors and rate filings.
Major health plan seeks as FSA (8+ yrs) as Director, Commercial Actuary. Perform actuarial analyses for Commercial business and manage staff. Manage a performance-based team providing direction, leadership, evaluation, & training. Identify and lead dialogue related to healthcare cost/trend opportunities, & revenue enhancement opportunities. At least 3 years managed care rate development, including ACA products.
Top healthcare provider needs an ASA or near to perform actuarial analyses for both Commercial and Medicare business. Utilize models to project monthly reserve (IBNR) levels, and other liabilities. Analyze key product performance measures & communicate drivers of medical results to leadership. At least 5 years of previous experience in actuarial analysis required, preferably in a Managed Healthcare environment. Ability to develop and built actuarial models is required.
Global consulting firm seeks a Pre ASA/ASA (3+ exams, 7+ yrs) as a Health & Benefits (H&B) Actuarial Consultant. Lead accurate and timely data and financial analysis on various actuarial/financial projects for pricing of medical, dental, life and disability programs. Act as project manager. Mentor junior staff.
Global professional services provider needs Senior Health and Benefits Consultant (10+ yrs). Lead complex client engagements, including managing overall service delivery, strategy, financial evaluations, plan design, renewal, business placement, & benchmarking. Develop sophisticated benefits design and renewal strategies. Set strategic direction and create demand for new products/services.
Leading healthcare provider seeks an ASA (2+ yrs) to work with or lead team of analysts to provide timely, accurate, actionable data and analysis supporting department, area, and corporate key initiatives. Monthly calculation of Corporation’s IBNR reserves. Assist with development annual Medicare filings and state rate filings. Perform monthly analysis identifying opportunities to reduce cost and utilization.
Global consultancy has opening for a Health & Benefits Actuarial Consultant (7+ yrs, 3+ SOA exams). Lead accurate timely data and financial analysis on various actuarial/financial projects for pricing of medical, dental, life and disability programs. Act as project manager for actuarial projects. Provide financial analysis for more complex and/or larger clients, including more in-depth analysis. Estimate the impact of Medicare part D.
Leading global consulting firm seeks a Health Actuarial Consultant – ASA/Near FSA (7+ yrs). Lead accurate and timely data and financial analysis on large and complex state managed health and welfare capitation projects. Serve as expert on rate structure and methodology. Ensure federal regulations and actuarial standards.
Global consultancy seeks a Senior Health Actuarial Consultant (10-25+ yrs). Manage clients on broad-based Health & Benefits consulting projects. Manage accurate and timely data and financial analysis on various actuarial/financial projects for pricing of medical, dental, life and disability programs. Develop sophisticated benefits design and renewal strategies and drive development of tools and solutions to address complex client issues. Management experience a must.
Global consulting firm seeks a Pre ASA/ASA as Health & Benefits Actuary (7+ yrs). Lead and manage financial deliverables for client teams. Manage quality and timeliness of client deliverables, manage internal budgets, act as key client contact for financial work, and prepare and present results to clients. Price and evaluate medical plans using internal pricing model to compare designs.
Managed health care provider needs a Senior Director Medical Economics (5-10 yrs). Provide financial guidance in emerging medical cost results. Develop and maintain processes for ongoing monitoring of medical costs. Experience in comprehensive managed health care plan environment. Familiarity with typical risk adjustment methodologies. Ability to develop and maintain complex cost modeling tools.
Global consulting firm seeks an ASA (4+yrs) as Associate Health Actuary. Assist with variety of tasks including pricing, reserving and forecasting. Strong technical expertise to actively participate in multiple consulting projects. Including: pricing, product design, merger & acquisition support, statutory and tax valuation. Product development and support experience in some areas: critical Illness, accident, hospital indemnity and combination life/health products. Prior experience with valuation (statutory and/or GAAP).
National Managed Health provider seeks an ASA (5+yrs) to lead a growing actuarial pricing team. Lead pricing of ACA Exchange products and evaluate Medicaid capitation rates. Manage a regional team of actuarial analysts to analyze trends and design/implement follow-up action items.
Global consulting firm seeks a Senior Financial Consultant/Client Leader (12yrs). Manage relationships and engagements with company’s Employee Health & Benefit’s government clients. Responsibilities include client management and client engagement. New business development and project management. Oversee multiple project managers. Minimum 7 years' knowledge and experience with Medicaid programs.
International consulting firm seeks a Pre-ASA/ASA (4+ exams, 1+ yrs) as Senior Health Actuarial Analyst. Assist with a wide variety of tasks including pricing, reserving construction, validation, documentation, and delivery of financial forecasting modeling. Product development and support experience. Experience with one of following: valuation (statutory or GAAP), product pricing, product experience analysis.
Global consulting firm seeks an ASA (4+ yrs) as a Health Associate Actuary. Participate in multiple consulting projects in variety of assignments, including: pricing, product design, merger & acquisition, statutory and tax valuation. Product development experience in some areas: Critical Illness, Accident, Hospital Indemnity, Combination Life/Health products. Prior experience with valuation (statutory and/or GAAP), product pricing, experience analysis.
Prestige consulting firm seeks FSA (6+ yrs) with supplemental health insurance. Wide variety of assignments, including pricing, product design, merger & acquisition support, statutory and tax valuation and/or ORSA support. Product development and support experience in worksite products.
Premier Global consulting firm is looking for experienced actuaries for their Medicare team. “Opportunity hires” Experience working in PBMs such as CVS would be a great addition to the team.
Top insurer seeks pre ASA/ASA (4+ exams, 2+ years) as an Actuarial Associate. Assist VP & Actuary in management, financial reporting, and forecasting of Health and Special Risk business. Develop, and run models for use in forecasting, financial reporting, reserving, calculation of economic capital, and determination of embedded value. Experience with health products. Knowledge on IFRS and Solvency II reporting. Moses experience.
Global Financial services provider seeks an FSA (10 + years) as VP, Individual Health Actuary. Responsible for product risk management, reinsurance pricing, valuation, in force management and actuarial services for all Individual Health business. Monitor profitability of all Individual Health business. Experience in pricing or valuation of Individual Disability preferred.
Premier life insurance provider seeks an FSA (6+ yrs) as Associate Actuary to perform analysis of portfolio data. Develop analytic reports/benchmarks and tools. Assist actuarial team to support pricing, data analysis, and portfolio management for healthcare quota share reinsurance business. 4+ years in healthcare insurance, healthcare consulting, or healthcare reinsurance experience.
Global financial services leader seeks a Health Financial Reinsurance Actuary. Strong understanding of health market.
National heath & benefits provider seeks a Near to New ASA (2-3 exams, 3+ yrs) as a Government, Pricing/Actuarial Assistant. Support in development and maintenance of rate development for health plans. Drive pricing model enhancements, expense ratio build and fee schedule flexibility within Government program pricing models. Experience in underwriting Medicaid and Medicare Advantage programs.
National heath & benefits provider seeks a Pre-ASA/ASA (1+ exams, 1+ yrs) as an Actuarial Assistant. Support Commercial Actuarial & Risk Leader on pricing, product development, and other commercial products. Perform financial and non-financial analyses.
Managed healthcare provider seeks an ASA (4+ yrs) as a Manager, Actuary. Lead team of analysts to provide timely, accurate, data and analysis supporting department. Key member of Finance Team and Senior Management. Monthly calculation of the Corporation's IBNR reserves. Evaluate Government reimbursement process to determine areas of risk and opportunity.
Managed care provider seeks an ASA/APC (3+ yrs) as a Lead Actuarial Associate. Support Clinical Operations & Cost of Care and Utilization. Strong technically with a superior capacity for problem resolution. Group Health actuarial experience.
Global consultancy seeks an ASA/FSA (8+ yrs) as a Health and Benefits Senior Consultant. Advanced strategy and actuarial consulting to include: strategy, Goal setting, Benchmarking, Plan design, Pricing, Budget setting. Client leadership and lead/facilitate complex client meetings.
Global consulting firm seeks an FSA (3-5+ yrs) as a Senior Actuarial Consultant – Health. Risk management and advanced statistical analytic capabilities. Be actuarial domain expert on client service teams. Drive analytic workstreams and provide expert insight. Health insurance or Medicare experience highly preferred.
Global consultancy seeks Near ASA to FSA (4-8 yrs) as Health and Benefits Actuarial Consultant. Assist in strategy development and costing scenarios. Assist clients to identify cost measures and review health care budget rate for self-insured plans. Develop models to evaluate cost-saving scenarios.
Leading financial provider seeks FSA/ASA (10+ yrs) as Health and Benefits Assistant Vice President. Lead client teams, actuarial projects, and overall strategic direction in benefits. Perform IBNP reserve development & review models cost-saving scenarios. Prior consulting experience.
National healthcare provider seeks an ASA (5-10+ yrs) as a Health Actuary. Responsible for Financial Reporting of Actuarial Services department. Calculate financial accruals, develop/submit MA-PD bid, ensure compliance. Financial analysis to monitor risk adjustment activity, health care cost initiatives, & cost impacts. Medicare/Medicaid Experience Required. Familiarity with Medicaid and Medicare Advantage plans.
Boutique innovative company seeks FSAs with 5 yrs post FSA experience to expand supplemental products such as DI critical illness and permanent insurance. Disability and other supplemental products experience to be able to present to clients. Prior pricing and product development experience.
Global insurer needs ASA/FSA (5+ yrs) as a Medical Reinsurance Actuary. Responsible for all US Medical Reinsurance actuarial services. New business costing support & financial services to client markets, underwriting, & reserving. Knowledge of managed care reinsurance products and government programs.
Healthcare provider wants an ASA/FSA as Risk Adjustment Actuarial Analyst. Design and perform analytical studies on ACA and Medicare risk adjustment. Cost Sharing Reduction reconciliation. Expert knowledge of risk adjustment programs required, & in-depth knowledge of the healthcare industry.
Premier healthcare provider seeks an ASA (5+ yrs) for a mid-manager position. Analysis of non-fee-for-service provider reimbursement arrangements. Create budget for non-fee-for-service provider reimbursement arrangements. Prescription Drug analysis & experience with SAS & trend analysis.
Healthcare provider seeks Actuarial Analyst (5+ yrs). Develop and maintain pricing and underwriting models. Work on product-development and rate-setting. Experience in data analysis & healthcare. Underwriting, pricing, or rate-setting experience.
Major managed care provider seeks a Pre-ASA/ASA as Senior Actuarial Associate. Unit cost trend and provider network analysis. Group Health experience with health claim analysis and claim reimbursement methods.
Managed care company seeks an ASA (3+ yrs) as Lead Actuarial Associate – Analytics and Strategy. Experience composing and creating presentations. Group Health actuarial experience.
Top managed care provider seeks Assistant Actuary – Client Analytics. Analysis and recommendations involving costs, trends, network performance, & cost containment. Design and maintain reporting and analytical tools. Pricing; underwriting; statistical modeling; networks; & forecasting.
National managed care leader seeks an Assistant Actuary – Valuation & Risk Adjustment. Design and maintain pricing, underwriting, statistical, and reserving systems for assigned lines of business. Knowledge of pricing; underwriting; statistical modeling; networks; & forecasting.
Leading global consulting firm seeks non ASA or ASA with 3-5+ yrs of Medicare Advantage experience.
Leading financial services provider seeks an ASA/FSA (4-8 yrs) as Health and Benefits Actuarial Consultant. Assist in strategy development and costing of scenarios related to strategy discussions. Identify relevant cost measures & project savings/costs. Review health care budget rate for self-insured plans. Prior experience at a Human Resources Consulting firm.
Actuarial consulting firm seeks a Senior Health Actuary (10+ yrs). LTC or A&H expertise.
Managed healthcare provider seeks an ASA/FSA (5-8 yrs) as Senior Director, Pricing. Lead pricing of Public Sector and Commercial behavioral and specialty products. Work with Healthplan and Pharmacy business units and Finance teams to analyze claims data and develop cost-of-care projections. Knowledge of health care and health insurance industries & underwriting principles.
Healthcare provider needs a Senior Healthcare Economist. Analyze claims and data for repricing and network analyses. Develop volumes of raw & complex data from multiple sources into common database. Conduct analyses to assess quality & completeness. T-SQL, R experience. CPT and ICD-10 coding preferred. Hospital contract experience required.
Global consulting leader seeks an ASA/FSA (12+ yrs) as a Senior Government Actuarial Consultant. Lead and manage relationship and engagements with government clients. Define scope, timelines and deliverable(s) of project. Manage relationship with key client stakeholders. Identify and secure resources and opportunities for expanded revenue. Excellent project management skills. Expertise in Health Policy.
Leading managed healthcare provider needs an analyst (2-5+ yrs). Ideally with risk revenue experience.
Managed care leader seeks an ASA (2+ yrs). Provide timely analysis supporting department, area, and corporate key initiatives. Monthly calculation of Corporation's IBNR reserves. Assist with annual Medicare filings and state rate filings.
Major managed care provider seeks an ASA (4+ yrs). Lead team to provide timely data and support corporate key initiatives & participate as key strategic member of Finance Team and Senior Management. Assist with annual Medicare and state rate filings. Monitor changes in healthcare industry.
Major healthcare provider seeks an FSA (5-10 yrs) as Senior Actuary. Develop overall pricing and reserve strategies for Commercial segment & provide financial performance, & trends. Oversee development and filing of premium rates. Individual and Small Group ACA segments knowledge. Managed care and in Commercial rate filings experience.
Regional health services provider seeks an Analyst. Build/maintain/improve benefit pricing model as well as Medicare bid work. Some programming experience.
Regional health insurance provider seeks an ASA (5+ yrs) as an Actuarial Analyst. Conduct & supervise projects related to pricing or forecasting competitive premium levels for individual products. Determine competitive premium levels for individual products and premium levels for small group business. Comparisons of actual experience to expected projections, determine variances, and recommend corrective actions. Develop premium levels for new products and price adjustments for group and non-group products.
Large regional healthcare provider seeks an ASA/FSA (5+ yrs) as Senior level analyst. Perform risk adjustment analytical studies, including both ACA and Medicare risk adjustment. Support analytical models to assess impact of risk adjustment on financial reporting, reserving, forecasting, and pricing. Lead and develop and train staff. Expert knowledge of risk adjustment programs and ACA.
Global consultancy is looking for a Healthcare Data Analyst. Work with consulting actuaries to develop actuarial models & analyze healthcare cost and utilization data. Provide statistical analysis of large, complex datasets. Develop and implement statistical analysis plans. Produce sophisticated code and sound statistical reports. Experience in statistical analysis and/or regression analysis.
Global consulting firm seeks a Pre-ASA (2+ exams). Assist consulting actuaries with use of actuarial models for pricing, reserving, and forecasting. Review & organize statistical data; & develop actuarial models; analyze healthcare costs and utilization data.
Large healthcare provider seeks an ASA (4+ yrs) as Senior Actuarial Analyst III. Perform trend analysis and forecasting. Collect and analyze data for financial reporting and monitoring & develop pricing models. Experience with Medicare Advantage or Medigap Part-D highly preferred.
Rapidly growing Pricing team is seeking an ASA or near (5-7 yrs) to lead pricing of ACA Exchange products and evaluation of Medicaid capitation rates. Lead a regional team of analysts. Estimate liabilities, establish premium rates, financial analysis and reporting. Synthesize data to identify risks.
Managed care provider seeks an ASA as Director, Actuary – Medicare. Responsible for all actuarial activities related to Medicare product line. Includes pricing of products, financial reporting, trends, & profitability. Responsible for Medicare pricing, bids analysis and submission for both Part C and D as well as all desk reviews, actuarial audits. Experience in rate filing, IBNR analysis, product and segment analysis. Experience working with strict state and/or federally mandated deadlines. Medicare bid experience.
National health provider seeks an ASA/FSA (10+ yrs) for a key financial role. Lead actuarial efforts that affect new and existing business. Determine impact of various actions on premiums and product pricing. Lead rate submissions and discussions with state and federal regulators. Analyze and forecast and medical trends.
Healthcare provider seeks an ASA (2+ yrs) as a mid-level analyst. Develop mathematical modeling techniques and statistical concepts to determine probability and assess risks. Develop pricing models and support pricing requests. Working knowledge of Excel and Access. Knowledge of data analysis and Actuarial principles.
National healthcare provider seeks an ASA (3+ yrs) as a Lead Actuarial Associate. Responsible for maintenance of implementation of pricing, underwriting, statistical, and reserving systems for assigned lines of business. Experience composing and facilitating presentations. Group Health actuarial experience.
Global consultancy needs an Experienced Consultant, with in-depth health and benefits knowledge and consulting skills. Serve as a Health & Benefits Account Executive for multiple clients. Drives client decision making & lead client planning and client innovation. Develop tailored solutions and measurement criteria. Demonstrate strong partnerships with vendor community. (10+ yrs) Experience at an insurance company, or brokerage/consulting experience in the Health and Benefits industry.
Health consulting provider has an opening for a Statistical Analyst (3+ yrs). Responsibility for 3-4 projects simultaneously. Develop statistical models. Research and ad hoc statistical analysis. Develop generalized linear models and predictive models. Experience in statistical analysis and predictive modeling required.
Health consulting leader seeks an FSA (8+ yrs) as a Medicaid Consulting Actuary. Projects include rate setting, experience analysis, & pricing of new benefits / benefit changes. Diagnose client’s problem, & develop project proposals. Leadership for project teams. Experience with developing Medicaid managed care capitation rates for a state Medicaid agency.
Global consulting firm needs a Healthcare financial expert ASA/FSA (7+ yrs) as Consulting Actuary. Identify client issues and resources needed to solve problems. Plan projects, identify project deliverables, and ensure compliance with quality procedures. Experience with Medicare Advantage programs, Medicaid.
Global consultancy seeks a Pre-ASA/ASA as an Actuarial Analyst. Data analysis for various health insurance areas, such as Medicare, Medicaid, & Pharmacy. Consulting activities include Pricing, Reserving, Financial Projections, and Mergers and Acquisitions. Direct projects.
Major life insurer seeks a Career ASA/FSA (5+ yrs) as Director & Assistant Actuary - Regional Accounts Life & Retiree Health Pricing. Pricing and profitably for retiree life. Proven management experience as well as for Group Retiree Health products across all market segments. Serve as lead for Life & Accident pricing projects. Responsibilities include product pricing, compliance support, profitability modeling, & analysis of financial results.
Managed healthcare provider seeks an Actuary or Non-Actuary as VP. Responsible for all Medical Economics for new health plans. Design data marts, network finance, negotiating deals with hospitals, cost and analysis as well as connected with CEO’s of health plans.
Regional healthcare provider seeks an ASA/FSA (7-9 yrs) to interface with large group segment management. Play active role in preparation of data and monitor trends and profitability. Lead Large Group pricing team. Supervise complex actuarial modeling. Support evaluation of financial impacts of provider contract changes. Experience with data retrieval applications.
Regional health insurer wants a Senior Actuary Analyst. Create monthly reports from health plan experience. Analyze, and summarize health plan experiences, account information and trends. Analyzing financial and accounting options and report financial forecasts/plans. Prior knowledge of Medicaid, Medicare product lines.
Health insurance provider needs a Product Actuary: responsible for all aspects of a product line including rating, reserving and financial performance. Prepare rate filings, analyzes provider contracts, & perform financial forecasting. Experience with managed care in a carrier or consulting. Experience analyzing medical and pharmacy trends with Individual, Commercial, Medicaid or Medicare programs.
Regional health insurance provider seeks as ASA/FSA (6+ yrs) as Healthcare Actuary. Prepare rate filings, review plan reserves & analyze medical trends. Summarize health plan experiences, account information and trends. Managed care and health care experience. Working knowledge of data flow, & data warehouses.
Large non-profit healthcare provider seeks an ASA/FSA (5+ yrs) as Director, Actuarial Services. Provide strategic leadership of financial exposure associated with health care benefits. Responsible for soundness of reported medical claims reserves. Work with leadership to ensure optimum utilization of financial resources. Understanding of community rated and individually risk-adjusted funding mechanisms. Two years supervisory experience required.
Managed healthcare provider seeks an ASA (4+ yrs) as an Assistant Actuary. Design and maintain pricing, underwriting, statistical, and reserving systems for assigned lines of business. Lead projects & manage retail risk adjustment, modeling, reporting and analytics for economic value. Knowledge in at least 3 areas: pricing; underwriting; modeling; analytics; networks; & forecasting. Group Health actuarial experience.
Global consulting leader firm seeks Pre ASA, ASA and FSA. Medicare/medicaid experience. Function as an actuarial domain expert on client service teams. Drive analytic workstreams. Quantitative analyses across the spectrum of claims, product, pricing, marketing and analytics. Significant experience with statistical software packages. Experience in segmentation analysis and world-class product pricing.
Consulting leader seeks ASA/FSA as Actuary. Delegate work to meet client needs; provide guidance and/or review for more junior staff, technical insight. Involved in 4-6 projects. Train staff on project-specific work. Clients external communications, data collection, & project updates.
Global consulting leader seeks a Pre-ASA/ASA as an Actuarial Analyst. Contribute to client projects by building and updating spreadsheets, programming, checking code, & reviewing work. Work on several projects at once (typically 2-4 projects) and interact with colleagues on all levels.
Giant health insurer has two positions open for an ASA (3+ yrs) as Lead Actuarial Associate. Responsible for maintenance of pricing, underwriting, statistical, and reserving systems for assigned lines of business. Group Health actuarial experience.
Large regional healthcare provider seeks an ASA/FSA (5+ yrs) as an Actuarial Analyst. Perform analytical studies related to Risk Adjustment. Develop and support analytical models, support Cost Sharing reduction and forecasting. Expert knowledge of risk adjustment programs for ACA and Medicare is required.
Major health provider seeks an FSA (5-10 yrs) as a Senior Actuary. Lead Actuarial area for Provider Network Management and Clinical network initiatives. Chair medical and pharmacy trend committees to monitor trend and identify opportunities to reduce costs. Strong understanding of health care unit cost and utilization drivers and measurement.
Major healthcare provider seeks an ASA (2+ yrs) as an Actuarial Analyst. Develop modeling techniques and statistical concepts to determine probability and assess risks. Perform quarterly forecasting, develop pricing models, monthly P&L reconciliations.
Leading health insurer seeks an FSA (5-10+ yrs) as Senior Actuary to lead Provider Network Management and Clinical initiatives. Support Provider Contracting to impact provider reimbursement. Manage actuarial trend analysis to develop accurate trend forecasts. Strong understanding of health care unit cost and utilization drivers. Experience with health care data base construction.
Major Health insurance provider seeks an FSA (5-10+ yrs) to develop overall pricing and reserve strategies. Lead projects to analyze current rate structures and develop improvements. Help analyze financial performance of Medicare and SSP blocks of business. Expertise in Medicare bids. Knowledge of the health insurance marketplace.
Managed healthcare provider seeks an FSA (8+ yrs) as Actuary – Senior Director. Manage team of analysts and actuaries to provide timely, & accurate analysis supporting corporate key initiatives. Oversee development of analytics for strategic and operating decisions. Assist with Medicare filings and state rate filings.
Global consulting firm seeks an ASA/FSA (7-10+ yrs) Health Care Actuarial Consultant. Lead staff providing strategic, and technical actuarial consulting services to health plans, providers, Federal and State governments. Lead creating a model to value the impact of health care reform on health plan clients. Price alternative plan designs. Identify strategies to reduce enterprise costs. Experience with Medicare products.
Global consultancy is looking for ASA/recent FSA with 3 yrs of healthcare experience. Manage projects for a diverse client base & apply models to diverse client situations & projects. Assist in the development of Medicare Advantage and Part D bids and/or health exchange rate filings. Healthcare actuarial experience a must.
Global consulting firm seeks a Commercial risk officer practice leader. Middle market focused. Lead mid-west small practices that are focused on the middle market.
Growing healthcare provider seeks an FSA (7-10 yrs) support Senior Actuary & Chief Actuary. Calculate and explain variances in administrative and claims savings based on client’s contractual requirements. Identify emerging patterns. Verify accuracy claims and census data in savings calculations. Experience healthcare industry. Strong data analytics & strong communication skills.
Leading global insurer seeks ASA/FSA as Medical Reinsurance Actuary. Responsible for full spectrum of US Medical Reinsurance actuarial services including: business costing, underwriting, technical accounting, & reserving. Develop actuarial costing, assumptions, & modeling results. Healthcare experience in insurance and/or reinsurance Knowledge of managed care products.
Leading healthcare provider seeks a Consultant (8+ yrs) to develop and implement Stop Loss Underwriting strategies. Subject-matter expert during full life cycle underwriting. Assist with development of organization-wide Stop Loss strategy and processes. Experience in Group Health Stop Loss Management.
Global consulting leader seeks Senior Government Consultant (10+ yrs) to lead data analysis on large, complex state healthcare projects. Lead teams of analysts and provide technical support to clients. Intellectual capital development, & experience leading program evaluation engagements. Strong project management skills.
Managed care provider seeks Risk Adjustment Analyst to support programs through tracking and monitoring. Maintain key metrics showing risk program effectiveness. Knowledge of Medicare Risk Adjustment Payment Methodology.