Director, Actuarial Services


The Director Actuarial Services is responsible for the overall management and technical oversight of an actuarial staff (fellows, associates, actuarial candidates, and/or support personnel) where activities are concerned with pricing and rate development; overseeing assigned actuarial staff and projects and developing and implementing sound actuarial policies and practices to help our company meet its financial objectives; providing technical support for other areas such as Finance and operational leads. This particular opening is a new position that will support Health Plan multi-year earnings improvement initiatives.


Essential Job Functions:


1.  Lead the Health Plan "Creating Customer Value" earnings improvement initiative, driving cross-functional team work efforts to design, implement and monitor initiatives that improve our company's revenue, claims and administrative expenses.


Use medical economics knowledge to facilitate idea generation and quantification of savings initiatives (areas of focus include provider contracting, utilization management, care management, risk adjustment, operational efficiencies, product design, etc.) See the big picture regarding interactions and dependencies of different initiatives.

2.  Partner with Actuary and FP&A leaders to ensure that in-flight initiatives are appropriately contemplated in current/future year projections and pricing models.


Coordinate savings opportunity projections and post implementation savings measurement with other areas Regularly interact with the Chief Actuary and CFO of the health plan to set and adjust overall goals and objectives of the process


3.  Provide Health Plan and Enterprise management with regular performance scorecards, highlighting initiative implementation successes, "capture" of initiative benefits, and identification of barriers.


4.  Consistently work with Health Plan partners to develop a pipeline of new initiatives, seeking to achieve our multi-year financial improvement targets.


5.  Train business partners in the use of business case return on investment measurement, developing a self-service culture that enables a broad base of support to initiative owners in their efforts to identify potential earnings improvement initiatives.


6.  Deploy an employee-wide communications strategy, highlighting the earnings improvement challenge and providing regular status reports with respect to achievement of targeted improvements.


7.  Lead in a matrixed work environment


Influence other departments where you do not have direct authority Help drive a culture change from "reporting the past" to "creating the solutions for future" Be persistent in following up with senior management from numerous departments. Collaborate with P&L owners and functional leaders. This will require strong communication skills (verbal and executive quality presentations) Be able to determine when projections seem unreasonable and constructively push back until satisfied with the analysis


Minimum Qualifications:

Bachelor's degree Actuarial certification 5 or more years of management experience and/or experience leading teams and/or projects of varying size and complexity.

Preferred Qualifications:


Master's degree FSA 10 + years management experience in finance or accounting in the health care payer sector 


Benefits - Full

Relocation Assistance Available - Yes

Bonus Eligible - Yes

10+ to 15 years experience

Management Experience Required - Yes

Minimum Education - Bachelor's Degree

Willingness to Travel - Occasionally