|
|
|
|
ID 357: Director, Actuarial Services Job
|
| Employer Name: |
SpiderID: 2471758 |
| Location: Hartford, Connecticut |
Date Posted: 9/5/2008 |
| Wage: |
Category: Insurance |
| Job Code: 357 |
|
Job Description:
Responsibilities:
1. Hires, develops, manages and motivates a performance-based actuarial services team providing ongoing direction, leadership, evaluation, training and development of staff to maximize return and drive results.
2. Establish and maintain actuarially sound process to analyze historical, and project future, medical expenses and required revenue.
3. Develop and maintain actuarially sound rate normalization and renewal rating system to determine most equitable allocation of premiums to customers.
4. Work with Sales, Underwriting, Chief Actuary, and CFO to determine premium allocation to customers resulting in optimal membership and profit levels.
5. Develop and prepare rate filings for submission to the Department of Insurance for prior approval for large and small group commercial markets.
6. Apply actuarial expertise to refine community rating techniques to improve the company's competitive position relative to price.
7. Identify medical expense problem areas, and work with Medical Management and Network Operations to determine and implement solutions.
8. Coordinate with Sales the determination of appropriate product pricing, prediction of product value and salability vis-à-vis competitor products, prediction of product mix and cost implications, as well as the establishing and monitoring of price relativity among and between product options.
9. Develop/model "what if" analysis that will predict financial outcomes of various business decisions. Participate as required with Chief Actuary and other areas (CFO and Controller) in the financial management of the company.
10. Closely monitor and assess competitors' small group rates, trends and rating methodology key to developing recommendations for rates invaluable to the company's success in this market segment.
11. Assess the financial or pricing impact of variations in benefits and provider contracts.
12. Estimate mandated benefit cost and calculate pricing of non-standard benefits and requested riders.
Job Requirements:
Qualifications:
1. Bachelor's Degree required in Actuarial Science/ Mathematics/Finance/Healthcare Management or a related field or an equivalent combination of education and experience.
2. ASA or FSA desired.
3. 5 to 7 years of previous experience in actuarial analysis with at least 3 years of managed care rate development.
4. Excellent quantitative, problem solving and analytical skills.
5. Strong communication and negotiation skills.
6. Proficient with personal computers, spreadsheet skills in particular.
7. Experienced in query and report development using relational database principles.
**Email resumes as attachment in Word format
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required: 5
Education Required: Bachelors
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: Nina Candido |
Company Type: |
| Company: GRN of Utica |
|
|
|
| City: Clinton |
|
| State: New York |
|
| Zip: |
|
Web Site: http://www.grnutica.com
|
|
|
|
|
|
|