Actuarial Associate Senior

Intermountain Healthcare; Dover; On-site; Full time

Job summary

A leading healthcare organization is seeking a skilled Actuary to oversee product design and rating structures. The role involves analyzing claims experience, developing financial models, and mentoring staff. Candidates should have a relevant degree and actuarial experience. A comprehensive benefits package is offered.

Benefits

Comprehensive benefits package

Qualifications

• 8 years of relevant actuarial experience or 5 years with FSA certification.
• Intermediate skills with word processing, spreadsheets, databases.

Responsibilities

• Oversees product design and rating structures for new and existing products.
• Analyzes and develops financial statement reserves and other liabilities.
• Mentors staff and provides expertise on difficult situations.

Skills

Analytical Skills

Communication

Problem Solving

Education

Bachelor's degree in math, statistics, computer science, economics, or finance

Tools

SQL

SAS

Job description

**Job Description:**

Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions.

Job Essentials

1. Provides direction and oversight of product design and rating structures for new and existing products and all associated internal/external systems and state filing requirements.
2. Coordinates and develops all required rate and compliance certifications.
3. Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components.
4. Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims, and other third-party claims and liabilities.
5. Provides input and support for internal and external audits and reporting.
6. Provides direction and oversight of development and maintenance of analysis, forecasting, and reporting of budget projection inputs, both in aggregate and various components.
7. Analyzes, develops, and maintains administrative expense models.
8. Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models, and service utilization information.
9. Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
10. Designs, develops, and maintains data extracts, complex queries, and online data analysis and reporting tools.
11. Mentors staff and provides expertise on difficult situations and problems.

Minimum Qualifications

• Bachelor's degree in math, statistics, computer science, economics, or finance from an accredited institution. Education verification required.
• ASA with eight years of relevant actuarial experience, or FSA with five years of relevant experience.
• Intermediate skills with word processing, spreadsheets, databases, and analytic software (e.g., SQL, SAS).

Preferred Qualifications

• Knowledge of health insurance products.
• Understanding of the underlying theory and effects of assumptions used in product development and maintenance.

Physical Requirements

Manual dexterity, seeing, hearing, speaking.

Location

SelectHealth - Murray, Utah

Work Details

• Work City: Murray
• Work State: Utah
• Scheduled Weekly Hours: 40
• Hourly Range: $48.89 - $76.95 (dependent on experience)

We care about your well-being and offer a comprehensive benefits package. Learn more at https://intermountainhealthcare.org/careers/benefits.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration regardless of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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