Director Healthcare Actuary

Primary City/State:

Phoenix, Arizona

Department Name:

Actuarial-BHN Cntr

Work Shift:

Day

Job Category:

General Operations and Culinary Services

Good health care is key to a good life. At Banner Health, we understand that, and that’s why we work hard every day to make a difference in people’s lives. Do you like the idea of making a positive change in people’s lives – and your own? If so, this could be the perfect opportunity for you.

As the Actuary Director you will lead healthcare actuarial analyses by focusing on healthcare analytics, analyzing financial risk, projections, pricing, etc.. The Actuary Director will develop internal expertise of actuarial services that will enable the Banner Health Insurance Division to expand its product offerings (Medicare, Medicaid, ACO Risk Contracts) in a complex healthcare environment and increase financial statement predictability. You will work on a will work on a new and growing team and have the unique opportunity to watch this work come to fruition.

This can be a remote position if you live in the following states only: AR, AZ, CA, CO, FL, HI, IA, MO, ND, NE, NV, TX, UT, WA, WI, & WY

License/Certification: Associate of the Society of Actuaries (ASA) designation within 12 months of being hired

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY

This position will lead healthcare actuarial analyses under minimal supervision of senior actuarial staff. The position will either have knowledge of, or will become knowledgeable in, Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), Commercial ACOs, Employer Plans, Medicare Advantage Prescription Drug (MA-PD) plans, Medicaid, Medical Economics, and other healthcare data analytics. The actuary will be encouraged to progress in their career development under the Banner Actuarial Professional Development Program.

CORE FUNCTIONS

1. Lead healthcare actuarial analyses under minimal supervision of senior actuarial staff.

2. Lead projections, pricing, reserving, and other analyses using tools developed in Excel, SAS, Teradata, Tableau, and other software, with the oversight and feedback from senior actuarial staff.

3. Develop/present results of the performed analyses to senior actuarial staff and/or insurance division executives.

4. Participate in the development of actuarial models and reports for the continued growth of the actuarial team.

5. Provide support to actuarial staff in performing IBNR estimates, financial reporting, and rate adequacy studies.

6. Research and compile information about healthcare regulations.

MINIMUM QUALIFICATIONS

Bachelor's Degree in Statistics, Mathematics, Actuarial Science, Business, Finance, or Healthcare Administration.

License/Certification: Associate of the Society of Actuaries (ASA) designation within 12 months of being hired.

Seven plus years of actuarial experience in healthcare; specifically in Medicare, Medicaid, and/or Commercial.

Knowledge of software for data analysis; specifically spreadsheets (e.g. MS Excel, VBA), data extraction and manipulation (e.g. SAS, Teradata, R) and data visualization (e.g. Tableau).

PREFERRED QUALIFICATIONS