Remote Health Care Actuary – Compliance & Market Conduct

STRATEGYGEN CO; Polska; Hybrid; PLN 120,000 - 180,000; Full time

Job summary

STRATEGYGEN CO is seeking a skilled Health Care Actuary to consult with our team. The role focuses on ensuring health insurers, plans, and issuers comply with state and federal regulations through reviews, audits, and examinations.

The ideal candidate holds ACAS or FCAS, has health care actuarial experience, strong analytics, and excellent communication. This is a remote position offering flexible collaboration across state agencies and industry stakeholders.

Qualifications

• Bachelor's degree in Actuarial Science or related field.
• Experience in health care actuarial or similar work.
• Familiarity with state health audits or market conduct exams is desirable.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication.
• Ability to work independently and in a team.
• ACAS or FCAS credential required.

Responsibilities

• Conduct health insurer audits and compliance reviews.
• Perform market conduct examinations against state and federal rules.
• Analyze data and prepare reports on findings.
• Collaborate with agencies, insurers, and issuers to address issues.
• Provide expert regulatory advice and stay updated on health care regs.
• Stay current with changes in state health care regulations and policies.

Skills

Analytical skills

Communication

Teamwork

Independent work

Education

Bachelor's degree in Actuarial Science

Job description

Job Summary

StrategyGen is seeking a skilled and detail-oriented Health Care Actuary to consult with our team. Your expertise will help ensure that health care health insurers, plans, and issuers adhere to state and federal regulations. Responsibilities may include conducting state government compliance reviews, health audits, or market conduct examinations.

Responsibilities

• Conduct comprehensive compliance reviews and audits of health insurers, plans, and issuers.
• Perform market conduct examinations to assess adherence to state and federal regulations.
• Analyze data and prepare detailed reports on findings.
• Collaborate with state government agencies, health insurers, plans, and issuers, and other stakeholders to address compliance issues.
• Provide expert advice on regulatory requirements and best practices.
• Stay up to date with changes in state health care regulations and policies.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Accounting, or a related field.
• Proven experience in health care actuarial or similar work, preferably with state government compliance reviews.
• Familiarity with state government health audits or market conduct examinations is highly desirable.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Must have either an Associate (ACAS) or Fellow (FCAS) Casualty Actuarial Society credential.

This is a remote position.