Actuary

This position is responsible to lead UCare’s rate development and analysis for individual ACA and/or products. Develop recommendations for UCare’s pricing strategies to product team and senior leadership. Actively participate in cross-functional product portfolio and strategic planning discussions. Oversee maintenance and enhancements to existing processes for Commercial rate development.

• Coordinate the analysis, preparation, and filing of products and premiums for individual ACA and/or Medicaid products. Ensure thorough process documentation is maintained to meet actuarial standards. Provide project management oversight of team to prepare data, projection factors, and required supporting information. Establish and maintain relationships with regulators as it relates to rate review.

• Construct and apply actuarial models to solve business questions. Applications include pricing, projection assumption development and impact analysis

• Develop recommendations for UCare’s product and pricing strategies. Perform actuarial studies to monitor financial effect of various portfolio strategies.

• Maintain familiarity with risk adjustment payment models. Monitor operating margin and understand each component of the revenue stream.

• Maintain familiarity with competitor product benefit packages and premium structure.

• Collaborate with internal and external stakeholders from a variety of backgrounds. Build/Strengthen relationships with stakeholders and understand how actions impact/influence others.

• Exhibit and foster excellent documentation standards.

• Serve as Health Care Economics representative on various ad-hoc work groups. Provide ad-hoc financial analysis as needed.

• Other projects and duties as assigned.

Education

B.S. in Actuarial Science, Statistics, or related field preferred; demonstrated programming/financial analysis experience may be considered in leiu of degree.

Required Experience

At least 4 SOA Exams. Minimum of 5 years related experience in direct health insurance industry, including pricing experience.

Preferred Experience

ASA or FSA credentialed actuary.

Technical skills with SQL and/or SAS.

Project management experience, including staff training and delegation to analysts. ACA or Medicaid experience a plus.

THE UCARE DIFFERENCE

The UCare difference is our people power – employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

JOB POST DATE: 08/09/2022