Director & Actuary- Part D (Work from home)

HCSC Group; Northern (KY); Hybrid; USD 133,000 - 248,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks an experienced leader to direct highly complex actuarial teams and long-term projects. You will develop strategy, craft high-impact presentations for senior leadership, and guide cross-functional work streams.

A strong actuarial foundation and state-of-the-art communication skills are essential. The role emphasizes expert knowledge across multiple actuarial areas, budgeting, and ROI-focused initiatives, with a remote-friendly setup within the

Qualifications

• Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics.
• FSA and MAAA membership; or ASA with 4 years health insurance actuarial experience.
• At least 7 years of actuarial experience in the health insurance or related field.
• Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations.
• PC proficiency to include Word and Excel.

Responsibilities

• Direct highly complicated work teams and long-term projects; set strategy for success.
• Develop and drive strategy for tools, technology and resources for the team.
• Ensure compliance with Actuarial Standards of Practice and requirements.
• Communicate across the company and with external parties; prepare senior leadership briefings.
• Build key relationships across areas and with external partners.
• Demonstrate expert-level understanding of actuarial concepts across segments.
• Lead and develop Directors and below; guide teams.
• Foster a continuous improvement culture with measurable savings.

Skills

Verbal & written communication

Leadership

Budget management

Cost-benefit analysis

ROI justification

Presentations

Actuarial expertise

Strategic thinking

Education

Bachelor degree in Actuarial Science/Math/Stats/Economics

FSA/MAAA designation or ASA with 4 years health insurance actuarial experience

7+ years actuarial experience in health insurance

Strong communication skills

Word & Excel proficiency

Tools

Excel

Word

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for directing highly complicated work teams of actuaries, long term projects and work streams or for providing insight and guidance to highly complicated long term projects and work streams that require unique skills. Setting or participating in setting the strategy for success in the area. And developing compelling written and oral presentations to senior leadership that clearly drive the delivery of information for high-level decision making. Must also possess and demonstrate an expert level understanding of actuarial concepts, multiple actuarial areas and one or more business segment.

Job Responsibilities

• Ensures that the appropriate modeling is being done and that the team continues to develop technically. Develops and drives the strategy for the most appropriate tools, technology and resources for the team to use.
• Complies with, monitors their staff for compliance with, and ensures their areas have appropriate monitoring in place for all applicable compliance requirements and all Actuarial Standards of Practice.
• Communicates effectively across the company and with external parties. Ensures that the appropriate information is making its way to all levels of the organization. Has ability to develop compelling written and oral presentations to senior leadership that clearly drive the delivery of information for high-level decision making.
• Determines strategies to develop and improve key relationships in the areas and with external areas. Determines all areas where key relationships should exist.
• Understands complex actuarial concepts, multiple actuarial areas and one or more business segment all at expert level. Possesses broad applicable market knowledge and has processes in place to track best practices in their areas of expertise.
• Directs highly complicated work teams. Manages long term complicated projects and work streams.
• Manages and develops a team of Directors and below. Supports and guides director in building effective teams.
• Drives a continuous improvement culture in the department. Improvements result in administrative savings or financial improvements that are recognized by peers and leadership.

Required Job Qualifications

• Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics. Other Bachelor (or higher) Degrees may be considered.
• Fellow of the Society of Actuaries (FSA) and Membership in the American Academy of Actuaries (MAAA). In place of attainment of FSA, 4 years of actuarial experience in the health insurance field at the ASA level may be substituted. Compliance with all the membership requirements for each professional designation.
• At least 7 years of actuarial experience in the health insurance or related field.
• Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations.
• PC proficiency to include Word and Excel.
• Overseeing the annual budget and allocating resources for various projects and operational needs.
• Translating needs and initiatives into compelling business cases.
• Conducting cost-benefit analyses to justify investments and ensure ROI.

Preferred Job Qualifications

• Pricing for Medicare Advantage Part D #LI-TR1 INJLF This is a Telecommute (Remote) role. Remote employees must live within the continental United States, excluding Alaska, California, Hawaii or New York. Sponsorship is not available

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Base Pay Range $133,400.00 - $247,700.00 Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.