Senior Director, Actuarial Services - Remote, Certified Actuary (FSA/ASA)

Acturhire; United States; Remote; USD 143.000 - 257.000; Vollzeit

Benefits dieser Stelle

Comprehensive benefits package

Remote work flexibility

Zusammenfassung

Magellan Health, Inc. is seeking a Senior Director of Actuarial Services to lead actuarial work supporting health plans from a remote location in the United States.

The role requires ASA/FSAs with extensive actuarial and management experience, overseeing rate adequacy, reserving, and cost modeling for multiple programs. You will guide cross-functional teams, interact with regulators, and ensure accurate forecasts for care costs, while maintaining independent prioritization and strategic

Qualifikationen

• ASA designation required.
• 10+ years actuarial experience required; ASA exam performance may be considered with experience.
• 5+ years of management experience required.
• Experience in a comprehensive managed health care plan environment required.
• Experience with claims reserving techniques and premium rate development.
• Familiarity with health plan risk adjustment methodologies.
• Ability to develop, maintain, and oversee use of complex cost modeling tools.
• Strong communication and negotiating skills.
• Ability to manage multiple activities with high independence.
• Ability to work collaboratively with cross-functional local health plan leadership team.

Aufgaben

• Actuarial market lead for one or more managed health plan programs.
• Owns overall market accountability for health plan pricing and claims reserving.
• Leads all actuarial activities in regards to monthly financial close process.
• Accountable for identification and establishment of appropriate reserves for all care expense liabilities.
• Actively assists leadership in interpreting emerging care expense results.
• Designs and implements processes for forecasting medical expenses.
• Interfaces with state and/or federal agencies on rate considerations for health plan.
• Directs and/or collaborates on complex medical cost analyses as needed.

Kenntnisse

Leadership

Management

Actuarial

Communication

Negotiation

Independent work

Cross-functional collaboration

Ausbildung

Bachelor's - Actuarial Science

Bachelor's - Mathematics

Jobbeschreibung

ASA or FSA Required.

Minimum actuarial designation: Associate of the Society of Actuaries (ASA) required.

Leadership position having overall accountability for all actuarial work supporting one or more of the company's health plans, including rate adequacy, claims reserving, cost of care forecasting and planning. Leads the actuarial team and provides strategic guidance to key stakeholders in the interpretation of care cost results. Accountable for the design, build out and implementation of cost modeling tools along with ensuring the modeling adapts to changing business needs.

• Actuarial market lead for one or more managed health plan programs.
• Owns overall market accountability for health plan pricing and claims reserving.
• Leads all actuarial activities in regards to monthly financial close process.
• Accountable for identification and establishment of appropriate reserves for all care expense liabilities.
• Actively assists local and corporate leadership in the interpretation of emerging care expense results.
• Designs and implements processes for the ongoing improvement of forecasted medical expenses.
• Interfaces with state and/or federal governing agencies to ensure appropriate rate considerations for health plan.
• Directs and/or collaborates cross-functionally on complex medical cost analyses as needed.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Other Job Requirements

Responsibilities

• Associate of the Society of Actuaries (ASA) designation required.
• 10+ years of relevant actuarial experience required; ASA exam performance may be considered in combination with experience.
• 5+ years of management experience required.
• Experience working in a comprehensive managed health care plan environment required.
• Experience with claims reserving techniques and premium rate development.
• Familiarity with typical development of and use of health plan risk adjustment methodologies.
• Ability to develop, maintain, and/or oversee use of complex cost modeling tools.
• Strong communication and negotiating skills.
• Ability to effectively manage multiple activities with high degree of independence.
• Ability to work collaboratively with cross-functional local health plan leadership team.

General Job Information

Title

Senior Director, Actuarial Services - Remote, Certified Actuary (FSA/ASA)

Grade

33

Work Experience - Required

Management/Leadership, Underwriting

Education - Required

Bachelor's - Actuarial Science, Bachelor's - Mathematics

License and Certifications - Required

ASA-Associate of Society of Actuaries - Enterprise

License and Certifications - Preferred

FSA - Fellow of the Society of Actuaries - Enterprise

Salary Range

Salary Minimum:

$142,565

Salary Maximum:

$256,595

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short- term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.