Actuarial Manager

This is a fully remote position, open to applicants in Utah.

📋 Description

• Deliver actuarial expertise that bolsters the financial integrity of Select Health and Intermountain.

• Supervise the calculation and management of financial, ACA, Medicare, Medicaid, provider contracting, and pharmacy actuarial operations.

• Report to the Chief Actuary while collaborating with the CFO, Controller, AVPs, and regional leaders.

• Manage financial statements, monthly IBNR reserves, liabilities, forecasting models, management reporting, dynamic planning, audits, and annual statement actuarial tasks.

• Coordinate corporate trends and present findings to committees.

• Develop and submit ACA filings, support ACA strategies, manage risk adjustment accruals, and oversee MLR management.

• Offer expertise in provider contracting and value-based arrangement strategies and analytics.

• Direct the development of Medicare bid filings, submit to CMS, certify bids in HPMS, and conduct Medicare financial analyses.

• Oversee Medicaid actuarial analyses, negotiations, reporting, and financial assessments.

• Analyze fully insured large groups, self-funded plans, stop-loss, and commercial group products; develop underwriting factors and support commercial group strategies.

• Create and maintain pharmacy pricing models, perform forecasts, analyze costs and utilization, ensure regulatory compliance, and optimize pharmacy benefits.

⛳️ Requirements

• Bachelor’s degree in mathematics, statistics, computer science, economics, or finance from an accredited institution.

• FSA and Member of the American Academy of Actuaries or Society of Actuaries with 12 years of relevant actuarial experience; or ASA and Member of the American Academy of Actuaries with 14 years of relevant actuarial experience.

• Minimum of 4 years in an actuarial managerial role.

• Comprehensive understanding of the underlying theory and implications of assumptions used in product development and maintenance.

• Familiarity with health insurance products.

• Demonstrated leadership skills.

• Experience with management presentations.

• Proficiency in rate filings.

• Knowledge of Medicare bids.

• Expertise in Medicaid.

• Experience with reserving.

• Proficient in provider contracting.

• Effective communication of results.

• Knowledge of ACA regulations.

• Experience in IBNR development.

• Ability to communicate verbally, comprehend spoken information, and operate computers, telephones, and office equipment.

• Capability to see and read computer monitors and documents.

• Ability to remain seated or standing for extended periods.

🏝️ Benefits

• Comprehensive benefits package that includes wellness, health, security, connection, and engagement programs.

• Flexible remote work expectations along with the provision of company equipment.