Role Description
The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is responsible for providing a range of experience working to establish rates, rating structures and systems, and reserves. The Actuarial Analyst has accountability for providing in-depth analysis on the overall risk management and financial solvency for the health plan operation.
Qualifications
• Bachelor’s Degree in a related field with at least one (1) Society of Actuary (SOA) exam passed required.
• Prior actuarial or related insurance industry experience preferred.
• Strong analytical skills, verbal and written communication skills.
• Strong interpersonal skills with demonstrated ability and willingness to collaborate with other team members.
• Ability to prioritize, multitask, and maintain multiple simultaneous projects.
• Intermediate technical skills including proficiency in Microsoft Office Suite.
• Strong programming skills in SQL, SAS, VBA, or similar programming language is preferred.
Requirements
• Level I: Establishes insurance rates, rating structures, and rating systems for groups and categories of business.
• Maintains reserve programs, pricing files, risk score models, benefit relativity tables, and appropriate documentation for work.
• Develops financial projections, risk score analysis, unpaid claim liability estimates, and conducts actuarial analysis for well-defined projects as directed.
• Compiles and analyzes data to draw conclusions and make recommendations.
• Proposes and assists in the development of process improvements utilizing system and software applications to full potential.
• Continued professional growth in Actuarial field as evidenced by participation in the Actuarial Study Program, attainment of credentials, and maintaining applicable annual continuing education requirements.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values.
• Consistently adheres to the Actuarial Standards of Practice and the Code of Professional Conduct.
• Maintains high regard for member privacy in accordance with corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.
• Level II: Conducts analyses for and communicates with other departments on various initiatives.
• Assists the development of actuarial analyses concerning complex issues & trends, coordinates with staff.
• Reconciles Data Warehouse data with corporate financials or encounter submissions and identifies and develops corrective action regarding Data Warehouse integrity issues.
• Initiates and leads efforts to continually improve data capabilities and quality of department analysis and reporting.
• Proactively and independently ideates process improvements, researches, and recommends changes to actuarial processes.
• Draws together facts and input from a variety of sources.
• Level III: Reviews and ensures pricings are consistent with established profitability targets for business segments priced in Actuarial.
• Develops actuarial analyses concerning complex issues and trends, coordinating with several different disciplines and staff.
• Provides effective technical advice and support to assist management in meeting corporate goals and identifying strategy.
• Leads departmental projects and initiatives with other actuarial staff.
• Prepares actuarial statements of opinion.
• Level IV: Represents the Actuarial Department on special projects involving other areas of the company or external constituents.
• Performs data exploration using a combination of statistical programming languages and deploys advanced statistical techniques to improve risk prediction.
• Leads organizational projects with internal and external partners.
• Interprets how regulatory changes affect Health Plan and develops impact analyses, processes, and guidelines.
• Collaborates with senior leadership in meeting corporate goals and strategic planning and decision making.
• Recommends departmental annual performance goals.
Benefits
• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.
Compensation Range(s)
• Level I: Grade E3: Minimum $62,400 - Maximum $106,929
• Level II: Grade E4: Minimum $65,346 - Maximum $117,622
• Level III: Grade E6: Minimum $79,068 - Maximum $142,322
• Level IV: Grade E7: Minimum $87,766 - Maximum $157,978