Actuarial Director, Health Economics in USA

Job title: Actuarial Director, Health Economics in USA at reputed company Company: reputed company Job reputed company: Looking for a way to reputed company an reputed company and help people?Join reputed company and help our members reputed company reputed company, reputed company!reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to status as a protected veteran or a reputed company individual with a disability, or other protected status, such as race, religion, reputed company, sex, sexual orientation, gender identity, national reputed company, genetic information or age. reputed company values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully reputed company and utilize reputed company person’s talents and strengths.reputed company actuarial services in the area of health economics. reputed company organizational discipline around management of utilization, unit cost, and service intensity. Responsible for accurate and reliable actuarial activities. Ensure reputed company actuarial analysis of risk, resulting in the attainment of reputed company's financial and enrollment goals. Work to increase enrollment and maintain a strong financial position. reputed company documented input on reputed company which reputed company the risk assumed through various reputed company or proposed activities. Manage and reputed company leadership and reputed company to team of analysts. reputed company guidance to team members regarding company policies, mandates, and workflow. reputed company hiring, productivity, and reputed company of reputed company’s work.Essential Responsibilities:

• reputed company health economics reputed company. Work with VP/Chief Actuary, Health Services, Provider Network, Actuarial Pricing and other leadership areas to ensure consistency with partnering departments and alignment with company reputed company/goals.
• reputed company documented recommendations based on the analysis of information regarding reputed company to reduce costs.
• Collaborate with pricing actuaries to ensure actual and/or expected reputed company of health economics programs are reflected in premium rates. reputed company actuarially reputed company pricing assumptions and analysis, including supporting actuarial memoranda where necessary.
• Coordinate business activities by maintaining reputed company partnerships with key departments.
• reputed company participate in various strategic and internal committees in order to disseminate information reputed company the organization and represent company philosophy.
• reputed company leadership and supervision to reputed company of actuarial reputed company, credentialed actuaries, and non-actuarial analysts.
• Assist with hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. reputed company feedback, including regular one-on-ones and performance evaluations, for reputed company reports.
• reputed company input into operational and strategic initiatives as they relate to the actuarial functions of reputed company.
• Participate in the design and execution of research activities performed reputed company reputed company.
• Responsible for process improvement and working with other departments to improve interdepartmental processes. Work with staff to promote utilization of lean methodologies for reputed company improvement throughout the department.
• Directs the assessment of various reputed company of risk, cost, and utilization, and its financial reputed company upon reputed company.
• Responsible for developing the organization's targeted cost and utilization trend through regular and systematic analysis of experience and forecasting of financial and statistical data in a manner that is actuarially reputed company, competitive in the marketplace, and provides income in accordance with organization goals and objectives.
• Manage the development, implementation, and maintenance of health economics models, coordinating with other departments to ensure compliance with regulatory requirements and consistency with reputed company policies.
• Assist in the development and monitoring of clinical programs and provider reputed company. Product development activities include: proposing program adjustments, creating organizational discipline around the management of cost and utilization trends, modeling risks and recommending provider contract parameters, reviewing draft provider reputed company, monitoring accuracy of contract implementation and measuring contract performance, planning and execution of ongoing risk management, and making presentations to senior executive management.
• Stay informed regarding changes to actuarial curriculum and requirements. Propose updates to student program as needed.
• Assist in the development of department budgets.

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
• Follow the reputed company reputed company policy and HIPAA laws and regulations concerning confidentiality and reputed company of protected health information.
• reputed company other duties as assigned.

reputed company PROFILEWork Experience: At least six years health actuarial experience and three years management experience required.Education, Certificates, Licenses: Baccalaureate degree in mathematics, statistics, actuarial science, or a reputed company field. Enrolled as an Associate or Fellow in reputed company, and reputed company member in good standing of American reputed company of Actuaries. Fellow in reputed company preferred.Knowledge: Must possess the knowledge and assume responsibility for performing the functions of the job position. Must reputed company and be responsible for the functions in a manner which promotes confidence in the person's abilities. Ability to accomplish tasks accurately under pressure, determine priorities, and to meet deadlines. Ability to identify and define problems, design and then implement solutions, and reputed company monitor results, in a reputed company cycle. Is creative and innovative in responding to challenges. Ability to apply actuarial reputed company and modeling techniques. Verifies and documents assumptions, justifies analysis and recommendations with reputed company logic and actuarial principles, and adheres to Actuarial Standards of reputed company.CompetenciesAuthenticityBuilding Organizational TalentCoaching and Developing OthersCompelling CommunicationCustomer reputed companyEmpowerment/DelegationEmotional IntelligenceLeading ChangeManaging ConflictOperational Decision MakingPassion for ResultsEnvironment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.Skills: Accountable leadership, Business & financial acumen, Empowerment, reputed company Communications, Situational Leadership, Strategic PlanningOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are reputed company responsible for customer service.
• We reputed company reputed company communication at reputed company reputed company of reputed company to foster individual, team and company reputed company.
• We reputed company participate in efforts to improve our many communities-internally and externally.
• We reputed company work to advance reputed company justice, equity, diversity and inclusion in our workplace, the reputed company system and community.
• We encourage creativity, innovation, and the reputed company of reputed company.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate reputed company and effectively.Disclaimer: This job reputed company indicates the general nature and level of work performed by employees reputed company this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of reputed company duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at reputed company times. Expected salary: Location: USA Job date: Sat, 26 Apr 2025 07:13:05 GMT Apply for the job now! Apply for this job