Senior Health Actuary - Pricing & Analytics

Louisiana Blue; Baton Rouge (LA); On-site; USD 110,000 - 160,000; Full time

Job summary

Louisiana Blue in Baton Rouge seeks an experienced health actuary to lead actuarial analyses, pricing and risk assessment. The role requires strong Excel/SQL skills and collaboration with Underwriting, Marketing, IT and Compliance.

Candidates should have a BS in a related field, 5 years of health actuary experience, and ASA designation with Academy membership. Four years can substitute for the degree, and healthcare analytics experience may substitute part of the requirement.

Qualifications

• Bachelor's degree in Mathematics, Statistics, IT, Economics or other related field required
• Four years of related experience can be used in lieu of a Bachelor’s degree
• 5 years of experience as a health actuary required
• 2 years of healthcare analytics experience or similar role may substitute for 2 years out of the 5 years of health actuary experience
• Expert in actuarial uses of Excel and SQL
• Excellent analytical and organizational abilities
• Strong interpersonal and communication skills
• Strong technical report writing skills required
• Associate of the Society of Actuaries (ASA) Designation required
• Member of the Academy of Actuaries required

Responsibilities

• Develops and oversees maintenance of methods, systems, models and assumptions designed to project premium and claim amounts per member for budgeting pricing targets
• Communicates pricing changes to Underwriting, Marketing, IT and Actuarial Systems departments and oversees testing of systems output to ensure correct pricing per member and accurate benefit quotes
• Develops and oversees maintenance of methods, systems, models and assumptions used in estimating actuarial liabilities for accurate financial statements
• Provides pricing support to Marketing to ensure competitive pricing and alignment with actuarial principles
• Provides support to Underwriting to promote underwriting practices aligned with actuarial principles
• Prepares and certifies regulatory filings to comply with laws, regulations and actuarial standards
• Provides career development and mentoring to Actuarial staff
• Evaluates financial impact of provider risk sharing arrangements and liability calculations under each arrangement
• Maintains ASO PBM pricing models and coordinates with Underwriting regarding PBM pricing
• Calculates medical trends and identifies drivers of trend

Skills

Excel

SQL

Analytical

Interpersonal

Report writing

Education

Bachelor's degree in Mathematics/Statistics/IT/Economics or related field

Four years of related experience can substitute for a Bachelor's degree

Job description

Louisiana Blue in Baton Rouge seeks an experienced health actuary to lead actuarial analyses, pricing and risk assessment. The role requires strong Excel/SQL skills and collaboration with Underwriting, Marketing, IT and Compliance.

Candidates should have a BS in a related field, 5 years of health actuary experience, and ASA designation with Academy membership. Four years can substitute for the degree, and healthcare analytics experience may substitute part of the requirement.