Director of Actuarial and Underwriting

ORGANIZATION:

A managed care organization.

REPORTS/RELATIONSHIPS:

This position will report to the Vice President, Medical Economics and manage a small team of analysts.

BASIC FUNCTIONS:

The Director of Actuarial and Underwriting will be responsible for providing leadership on reporting and analysis for the health plan. The Director is responsible for identifying and assessing risks, opportunities, and mitigating strategies to positively impact the financial performance of the plan and new initiatives. The Director will provide leadership and expertise in the development of rates, products, and improved experience reporting. This is an exciting opportunity for someone to lead the development of a cutting edge integrated health plan.

Specific duties will include, but not necessarily be limited to:

  • Responsible for reserving and related research, analyses, and reporting.
  • Manage the technical build across the Finance and Actuarial systems ensuring quality, timeliness, strict adherence to business requirements, and budget compliance.
  • Develop underwriting models for new products and lines of business.
  • Partner with internal teams to identify trend and root cause drivers.
  • Develop computer modelling of statistics to determine potential risks.
  • Prepare presentations and reports for both internal and external stakeholders and effectively communicate said information.
  • Keeping abreast of financial developments.
  • Ensure that premium rates are set accurately and that adequate funds exist to meet claims.

REQUIREMENTS:

  • Experience – five to seven years in Actuarial and Underwriting; managed care and Medicaid experience preferred.
  • Analytical skills – able to identify patterns and trends in complex sets of data to determine the factors that influence certain types of events.
  • Communication skills – strong executive presence; able to present to the executive leadership team and the broader community and effectively explain complex technical matters to those without an actuarial background.
  • Computer skills – proficient with programming languages and able to use and develop spreadsheets, databases, and statistical analysis tools.
  • Interpersonal skills – able to listen to other people’s opinions and suggestions before reaching a conclusion.
  • Math skills – able to quantify risk by using the principles of calculus, statistics, and probability.
  • Problem-solving skills – able to identify risks and develop ways for businesses to manage those risks.
  • Bachelor’s Degree required – preferably in mathematics, actuarial science, business, economics, or finance.
  • Certification by the Society of Actuaries – FSA preferred; ASA accepted.

COMPENSATION:

Compensation will be commensurate with experience including a competitive base salary, bonus opportunity, and competitive benefits package.

CONTACT INFORMATION:

Sam Fortenbery, Consultant
704.377.0362