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
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