Job ID: EB-1033563430 Category: Analytics, Data Science & Data Gov. Location: Remote,
Actuary (100% Remote) Direct Hire Full-time Minimum 3+ years experience 120 to 130K Base Salary No Sponsorship
Work Location: Work 100% from home or come into the office if you want. The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.
As a Pricing Actuary, you will be responsible for rate development and analysis of Medicaid and/or ACA products. Provide project management oversight of the team to prepare data, conduct analysis, and create innovative actuarial solutions to drive real world results for complex populations. Develop recommendations for product financial strategies to executive leadership team and actively participate in cross-functional product portfolio and strategic planning discussions.
Medicaid Rate Analysis: Coordinate the data analysis and rate review of Medicaid products and prepare strategic recommendations.
ACA Rate Filing: Lead pricing and rate filing of ACA products. Provide project management oversight of team to prepare data, analysis, and strategic recommendations. Establish and maintain relationships with regulators as it relates to rate review. Ensure thorough process documentation is maintained to meet actuarial standards.
Actuarial Modeling: Construct and apply actuarial models to solve business questions. Applications include pricing, assumption setting and impact analysis
Pricing Strategies: Develop recommendations for product and pricing strategies. Perform actuarial studies to monitor financial effect of various portfolio strategies.
Maintain familiarity with competitor product benefit packages and premium structure.
Collaborate with internal and external stakeholders from a variety of backgrounds. Build/Strengthen relationships with stakeholders and understand how actions impact/influence others.
Exhibit and foster excellent documentation standards.
Serve as Health Care Economics representative on various ad-hoc work groups. Provide ad-hoc financial analysis as needed.
Other projects and duties as assigned.
B.S. in Actuarial Science, Statistics, or related field preferred; demonstrated programming/financial analysis experience may be considered in lieu of degree.
At least 3 SOA Exams. Minimum of 3 years related experience in direct health insurance industry, including pricing experience.
ASA or FSA credentialed actuary.
Technical skills with SQL and/or SAS.
Project management experience, including staff training and delegation to analysts. ACA or Medicaid experience a plus.
BrainWorks, founded in 1991, is a leading executive search firm that prides itself on delivering superior talent to drive business performance. Our consultants are experts in their practice areas, which include CRM, Direct / Database Marketing and Customer Sciences / Advanced Analytics.
The Relationship Marketing and Decision Sciences Practice Group places top performing candidates, from mid-level managers to C-level executives, with companies spanning from entrepreneurial start-ups to Fortune 500’s. Some of the business areas in which these candidates specialize include the following: Statistical Modeling, Advanced Analytics, Web Analytics, Digital Analytics, Customer Analytics, and Campaign Management.
When you partner with BrainWorks you will receive industry expertise coupled with quality, speed and results guaranteeing a great hire. We look forward to having the opportunity to work with you https://brainworksinc.com.