Actuarial Analyst

Maxicare Healthcare Corporation; Makati; On-site; PHP 360,000 - 600,000; Full time

Job summary

Maxicare Healthcare Corporation is seeking an Actuarial Analyst in the Product Pricing unit. The role focuses on pricing new health products, analyzing Medical Utilization Cost, and preparing documentation for regulatory compliance.

The candidate will gather and analyze data from Maxicare systems, provide pricing recommendations, and communicate results to stakeholders. 0–2 years actuarial experience in health or related fields is preferred.

Qualifications

• Preferably BS Mathematics or related quantitative degree.
• Proficiency in data gathering and analysis for pricing.
• Familiarity with health/insurance product pricing is a plus.

Responsibilities

• Gather, validate, and analyze data from Maxicare system sources (Utilization, Masterlist, Total Contract Value, LOA Issuance).
• Pricing of new products and preparing cost analyses for regulatory/compliance needs.
• Provide renewal/repricing analyses and endorse results for validation and approval.
• Communicate pricing results to relevant departments; monitor existing products.

Skills

Google Apps

MS Excel

Education

BS Mathematics

BS Statistics

BS Actuarial Science

BS Applied Mathematics

BS Economics

BS Computer Science

BS Data Analytics

BS Artificial Intelligence

BS Electronics and Communication Engineering

Tools

MS Excel

Job description

POSITION TITLE: ACTUARIAL ANALYST

Business Unit: Product Pricing - Consumer Pricing Unit

Level: Rank and File

Reporting Line: Actuarial Supervisor

Position Accountability Statement

Accountable for the pricing of new products, preparation and analysis of Medical Utilization Cost (MUC) for products within the target date.

Job Description

• Gathering, validating, and analyzing the following data that can be accessed from Maxicare system sources:
• Utilization
• Masterlist
• Total Contract Value
• LOA Issuance
• Pricing of New Products
• Responsible for pricing of new products
• Provides recommendations and endorses the pricing to Superiors for validation and approval
• Communicates the results to the concerned departments
• Repricing/ Renewal Review of Existing Products
• Reviews and Analyzes the experience of Existing products
• Provides renewal recommendations and endorses the result to Superiors for validation and approval
• Communicates the results to the concerned departments
• Preparing required documents for regulatory compliance
• Reviewing, analyzing, computing and processing other requests such as:
• Special Accommodations for accounts
• Recovery accounts
• Ad Hoc, Special Projects, and other related functions that may be assigned by the Immediate Superior.
• Monitoring of Consumer Products
• Maintains and organizes pricing/quotation files and other documentations
• Handles the monitoring of assigned New and Existing Products regularly

STANDARD RESPONSIBILITY STATEMENTS

• Strives to embody, commits to support, and deliver the quality policy, objectives and initiatives of the organization;
• Communicates, engages, directs, and supports people to contribute to the Governance and Resilience effectiveness;
• Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;
• Abides by the Governance and Resilience policies and procedures for the effective management and control of its processes; and
• Promotes and utilizes the Process Approach and Risk-based Thinking at work.

EDUCATIONAL REQUIREMENT

• Preferably BS Mathematics, BS Statistics, BS Actuarial Science, BS Applied Mathematics, BS Economics, BS Computer Science, BS Data Analytics, BS Artificial Intelligence, or BS Electronics and Communication Engineering

Experience And Training

• At least 0–2 years of actuarial experience in health, life, or general insurance.

Skills Requirement

• Knowledge in Google Applications (e.g. Gmail, Sheets, Slides, Docs, Google Studio, etc)
• Knowledge in MS Excel is required