Manager Actuarial Services, Geisinger Health Plan (Eastern United States residen

Location:

Work from home (Pennsylvania)

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

Yes

Job Summary:

Manages the daily operations associated with the Actuarial Services Department. Provides leadership in developing and modeling impact of strategic initiatives, product development, pricing, regulatory reforms and legislation, rate filings, trend analysis, revenue optimization, forecasting, reserving, data management and analytics for all product lines.

Job Duties:

• Calculates claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions.
• Manages the pricing of products, including but not limited to, building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing.
• Guides the forecasting, analytic, underwriting, and performance monitoring functions.
• This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks.
• Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation.
• Supports strategic initiatives in the form of ideas, market research, financial modeling, business plan development, and implementation.
• Supports data management by providing direction and oversight to IT teams for appropriate data aggregation, partitioning, and extract rules to meet analytic and reporting needs.
• Collaborates with departments to ensure accurate and timely operations.
• Provides guidance and support to upcoming actuarial talent.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details:

Education:

Bachelor’s Degree-Related Field of Study (Required), Bachelor’s Degree-Actuarial Science (Preferred)

Experience:

Minimum of 2 years-Managing people, processes, or projects (Required), Minimum of 6 years-Related work experience (Required)

Certification(s) and License(s):

Skills:

Actuarial Function, Communication, Computer Literacy, Insurance Finance And Actuarial Concepts, Organizing, Problem Management, Statistics And Actuarial Modeling

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
• INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Originally posted on Himalayas