Manager - Actuarial Processes

February 28

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

+3 more states

🐊 Florida – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote

💵 $130k - $160k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

🦅 H1B Visa Sponsor

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Independent Health

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As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.

health insurance • pharmacy benefits • Medicare Advantage • Commercial health insurance • Self-funded plans

1001 - 5000 employees

📋 Description

• The Manager will be responsible for performing a full scope of actuarial and statistical analyses. • Such analyses will support both internal and external customers. • This position will require working collaboratively with upper management and other business units and will require strong analytical skills. • The Manager will assist in the development of process improvements. • Hold meetings with business partners throughout the course of the analysis to understand the nature of the business and seek input on specific drivers of the analysis. • Lead results discussions and maintain ongoing communications. • Work with Finance and Accounting to provide financial and actuarial reports on a timely basis, including accurate data for various financial statement items. • Oversee preparation of data and analyses for regulatory reporting and for audits. • Provide information to analysts preparing new product development analyses, including data for rate filings. • Responsible for the analysis of data to support various physician and vendor arrangements. • Support analysis and reporting pertaining to regulatory requirements such as MLR filings. • Lead the development of ad hoc reports as a supplement to routine management reports through query building and data extraction. • Implement process improvements and automation within the department. • Perform other functions as assigned by management. • Ensure overall data integrity. • Share knowledge with team members. • Assist in the development of actuarial analyses concerning complex issues and trends. • Draw together facts and input from a variety of sources; draw conclusions. • Represent the Actuarial Department on special projects involving other areas of the company or external constituents. • Interpret how regulatory changes affect health plan and develop impact analyses. • Complete reconciliations pertaining to vendor contracts as required.

🎯 Requirements

• Bachelor’s degree required in Mathematics, Statistics, Actuarial Sciences or related field. • Master’s degree preferred. • Completion of Society of Actuaries exam(s) preferred. • Five (5) years of Actuarial, Underwriting or Statistical Analysis required. • Health care experience preferred. • ASA or FSA designation preferred. • Two (2) years of progressive leadership/management responsibility required. • Strong problem-solving skills. • Excellent oral and written communication skills. • Self-motivation and initiative, as well as an ability to perform under pressure. • Strong interpersonal skills. • Strong organizational skills and ability to prioritize, multitask, and work in fast paced environment. • Advanced knowledge of Excel, Access and other analytic or query tools preferred.

🏖️ Benefits

• full range of benefits • generous paid time off