Remote Director, Actuarial Services: Healthcare Forecasting

Univera Healthcare; Buffalo (NY); Hybrid; USD 138,000 - 248,000; Full time

Job summary

Univera Healthcare in Buffalo, NY seeks a Director of Actuarial Services to lead a team overseeing cost trend analysis, financial forecasting, and budgeting for the health plan. You will develop actuarial models, interpret data, and provide recommendations to protect financial solvency and support pricing and new initiatives.

The role requires strong leadership, advanced analytical skills, and proficiency with SAS; you will collaborate across departments, guide staff, set performance goals, and

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics or related field.
• Professional designations of Fellow of the Society of Actuaries and Member of the American Academy of Actuaries (MAAA) preferred.
• Minimum three years of experience in leadership role; five years preferred.
• Strong leadership and people management abilities.
• Advanced analytical and financial risk understanding.
• Proficiency in Microsoft Office.

Responsibilities

• Builds new quarterly trend and forecasting process in collaboration with Health Care Network Management staff.
• Develops quarterly health plan financial forecast and necessary monthly analyses.
• Develops health plan financial budget.
• Coordinates financial forecast and budget development for all lines of business.
• Develops dental reporting, small group pricing, and rate filings.
• Forecasts health plan margin strategy requirements.
• Trends model development and maintenance.
• Conducts trend analysis to support pricing, forecasting, and opportunity identification.
• Develops seasonality analyses.
• Designs and maintains medical expense trend models and SAS data workflows.
• Mentors and develops staff to take leadership roles.

Skills

Leadership

Analytical skills

Project management

Communication

MS Office

Education

Bachelor’s degree in Actuarial Science, Mathematics, Statistics or related field

Tools

SAS

Job description

Univera Healthcare in Buffalo, NY seeks a Director of Actuarial Services to lead a team overseeing cost trend analysis, financial forecasting, and budgeting for the health plan. You will develop actuarial models, interpret data, and provide recommendations to protect financial solvency and support pricing and new initiatives.

The role requires strong leadership, advanced analytical skills, and proficiency with SAS; you will collaborate across departments, guide staff, set performance goals, and