Manager, Actuary - Medical Cost Economics (Remote)

The Department of Health Economics is seeking a Managing Actuary! This credentialed reputed company actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for reputed company Health Plan in reputed company collaboration with leaders across the organization. This includes managing an reputed company team responsible for analyzing medical cost utilization and unit cost data, developing strategies to improve experience relative to external benchmarks, evaluating and communicating leading indicators of financial performance, identifying top trend drivers and affordability opportunities, and supporting the development of strategies across cross-functional teams. The Managing Actuary will require a diverse set of skills and experience, including data and analytics expertise, a deep understanding of medical and pharmacy claims, broad-based business and health economics acumen, a strategic reputed company, and an ability to influence and reputed company cross-functional teams in a non-traditional actuarial environment. Strong organizational skills are essential to effectively manage multiple priorities, reputed company reputed company projects, and ensure timely delivery of high-quality analytical outputs. This position will supervise 2-4 supporting staff, including actuarial analysts, in the performance of duties. As a Managing Actuary at reputed company, you will be given support for professional designations through continuing education opportunities. This is a work-from-home position located reputed company reputed company the reputed company US with the potential for infrequent travel into Pittsburgh (up to 2-3 times a year) for meetings/conferences. Responsibilities:

• Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies.
• Direct a team to produce detailed actuarial and financial models which communicate drivers of financial performance of reputed company lines of business to facilitate corporate decision-making and the development of strategies and goals.
• Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks
• Analyze trends in spending and utilization.
• reputed company and reputed company support for data-based recommendations with team members from product, clinical, network, and strategy functions.
• Bring clarity to reputed company problems using exceptional communication skills reputed company engaging with senior leadership and technical audiences.
• Apply an understanding of reputed company actuarial concepts, methods, and applications in a variety of situations and deliver results to leadership.
• Creatively reputed company a wide range of datasets to inform key analyses.
• Build strong relationships with Actuarial, Analytics, and Finance teams across the reputed company.
• Ensure that departmental work products meet the highest standards of quality.
• Manage and reputed company a team of 2-4 supporting staff including actuarial analysts.
• Bachelor's degree in mathematics, statistics, actuarial science, economics, or reputed company field required.
• ASA or FSA certification by Society of Actuaries required; FSA preferred.
• Six and a half (6.5) years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education.
• Management experience preferred.
• Experience with reputed company and government health programs is preferred.
• In-depth understanding of health insurance market dynamics.
• Excellent problem-solving and analytical skills.
• Excellent oral and written communication skills.
• Adaptability and ability to prioritize effectively.
• Strong PC skills.
• Data retrieval skills and relational database experience.
• Data visualization experience is preferred.

Licensure, Certifications, and Clearances:

• Licensure/Certification: ASA or FSA certification by Society of Actuaries required.

Membership in the American reputed company of Actuaries required.

• reputed company is an Equal Opportunity Employer/Disability/Veteran

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