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Health Insurance Actuarial Curated Jobs List Dated August 23, 2018

Welcome to a Curated Job List compiled by Mid America Search. This List of Jobs, which our Client organizations are seeking to fill, have one or more factors of commonality thus Mid America Search has compiled or curated this collection of Jobs into the List below. Trustfully, our efforts will enhance your efficiency and provide time well spent in studying the information.

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VP & Actuary, Health Insurance Valuation
Job# 2770
Location:  Omaha, NE
Education Requirements:  Degree preferred.
Other Requirements:  Include:

  • Minimum Qualifications:
    • FSA, plus a thoroughly seasoned actuarial background.
    • Experience with Health Product pricing, projections or valuation.
    • Must meet or will work toward meeting Academy Specific Qualification standards for signing an NAIC Health Statement.
    • Ability to incorporate actuarial expertise with the creativity necessary to effectively design and critique new products.
    • Strong leadership, communication and human relations skills.
    • Creativity, awareness of emerging environmental and industry trends, and strong problem-solving abilities using business oriented solutions.
    • Working knowledge of Company products, pricing and marketing philosophies and objectives and a broad background in the operations of the Companies.
  • Preferred Qualifications:
    • Experience with Medicare Advantage.

Salary Range:  Target $200k flexible to go higher DOE + 35% incentive
Description:  The responsibilities for the VP & Actuary, Health Insurance Valuation include leading a team of actuaries and finance professionals to perform SAP, GAAP, and Tax valuation for the companies’ health products, which include Medicare Supplement, Medicare Advantage, Supplemental Heath Coverages (Cancer, CI, Hospital Indemnity, etc.), Individual Disability, Individual and Group Long Term Care, Special Risks and Workplace Products (LTD, Life, etc.).  The area is also responsible for reserve and asset adequacy analysis, valuation model ownership, best estimate and valuation assumption setting, as well as rating agency and SOA/AAA study support.  The area also partners with Business areas and Financial Planning and Analysis in variance analysis, planning and forecasting for the Health Lines.  Job duties and responsibilities also include:

  • Plans, organizes, staffs, leads and controls activities pertaining to actuarial studies including: planning projects and capital and human resource budgets; interviewing, selecting, and training managers; monitoring and appraising performance of direct reports to hold them accountable for end results including human resource management; coaching and motivating direct reports; administering disciplinary action as needed; administering compensation to direct reports; ensuring that the division complies with affirmative action guidelines.
  • Directs monitoring and financial analysis of product line profitability (GAAP, value-added, statutory, etc.) because of the implementation of product pricing strategies for assigned product lines.  Provide recommendations and report findings and business projections to senior management.
  • Directs all actuarial assumptions while valuing or projecting various product lines.  May have opportunities to design, develop and implement new products (product lines specific to department) that satisfy marketing objectives and are actuarially sound to support short and long-term profit objectives of the Corporation.
  • Oversees the investigation of profit and financial problems and opportunities as they relate to assigned product lines of the Companies to contribute to achievement of risk adjusted revenue and product line profitability goals with minimum adverse effect on third parties.
  • Oversees the determination of the expected financial impact, review and assess product line ability as they respond to new challenges brought about by a new pending regulatory environment, including state and federal reform.
  • Monitors, facilitates and controls corrective actions with respect to experience loss ratios for product lines to contribute to achievement of revenue and product line profitability goals with minimum adverse effect on agents and policyholders.
  • Remains current on new insurance products, procedures and regulatory reforms by actively participating in industry professional groups and various Company and state-sponsored committees.

Health Insurance Actuarial Consultant (Part-Time)
Job# 2773
Location:  Des Moines, IA
Education Requirements:  Bachelor’s degree from accredited college required; Actuarial Science or Math degree preferred.
Other Requirements:  Includes:

  • Ten or more years of pricing, reserving, and forecasting work experience required, strongly prefer experience in health or property & casualty insurance.
  • Experience as a strategic actuarial leader required.
  • Highly skilled in PC utilization including spreadsheets, data management software (SQL preferred), and actuarial modeling software.
  • Ability to perform detailed calculations and independently solve complex problems.
  • Excellent verbal and written communication skills required.
  • Ability to work independently and in a team environment.
  • Ability to multi-task and work under tight deadlines.
  • Ability to work with all levels of Leadership.
  • FSA preferred.
  • MAAA preferred.

Salary Range:  $80.00 per hour
Description:  The Health Actuarial Consultant will support the strategic initiatives and direction of the company by providing advice and developing/understanding models for pricing and underwriting various insurance and non-insurance products.  Support government programs pricing and contract negotiations by developing internal models and understanding external actuarial models.  This job will work with the Vice President Finance and Pricing as well as the Underwriting Director and recommend strategic solutions for continued growth and success of our Client in a changing industry.  In addition, this job will support various diversification efforts of our Client which could include acquisitions and new products.

VP & Actuary Medicare Advantage
Position# 2728
Location:  NE or Remote
Education Requirements: 
Other Requirements:  Include:

  • FSA plus thoroughly seasoned health actuarial background.
  • Ability to incorporate actuarial expertise with the creativity necessary to effectively design and critique new products.
  • Strong leadership, communication and human relations skills.
  • 5+ years of experience in Medicare Advantage with a proven track record of success.
  • Experience with Medicare Advantage bid pricing and financial forecasting.
  • Creativity, awareness of emerging environmental and industry trends, and strong problem-solving abilities using business oriented solutions.
  • Excellent verbal and written communication, presentation and facilitation skills and ability to influence stakeholders and build relationships internally and externally at multiple levels.
  • Ability to communicate insights in a compelling and informative manner.
  • Ability to clearly express ideas, direction, methodology, results and recommendations both verbally and in writing to peers, management and partners.
  • Ability to juggle multiple competing priorities while working in a collaborative team environment.
  • 33% travel, which may include flying and/or driving and some overnight stays.

Salary Range:  $180k or higher DOE. Bonus 35% and LTIP at 15%.
Description:  Our Client is looking for a motivated, experienced actuary with a passion for transforming the healthcare delivery system and perfecting member experience.  This is an opportunity to get in on the ground floor and help build a new and innovative Medicare Advantage product to drive better quality and more affordable care for members.  The VP & Actuary role provides leadership for strategy and execution to meet segment objectives.  This role may manage an area of professionals to meet company goals while maintaining actuarial professional standards.  Effectively communicates financial results and strategies to Senior Leadership.  Manages, directs and controls the activities that ensure efficient, effective product development including adequate product rates for company marketing and service efforts.  Provides leadership and direction for valuation, capital management, risk and other departments in the company.  Additionally, this role is responsible for deepening customer understanding and maturing the customer experience practice within the business segment.  Position will report to SVP Senior Health Solutions.  Essential job functions are:

  • Directs monitoring and financial analysis of product line profitability (GAAP, value-added, statutory, etc.) as a result of the implementation of product pricing strategies for assigned product lines.  Provide recommendations and report findings and business projections to senior management.
  • Directs all actuarial assumptions while valuing or projecting various product lines.  Drive growth and differentiation through the design, development and implementation of new products (product lines specific to department) that satisfy marketing objectives and are actuarially sound to support short and long-term profit objectives of the Client.
  • Oversees the investigation of profit and financial problems and opportunities as they relate to assigned product lines of our Client to contribute to achievement of revenue and product line profitability goals with minimum adverse effect on third parties.
  • Determines product line ability to respond to and expected financial impact of new challenges brought about by pending regulatory changes, including state and federal reform.
  • Monitors, facilitates and controls corrective actions with respect to product experience to contribute to achievement of revenue and product line profitability goals with minimum adverse effect on customers and producers.
  • Remains current on new insurance products, procedures and regulatory reforms by actively participating in industry professional groups and various company and state-sponsored committees.
  • Supports the execution of segment analytics vision and strategy, in alignment with insights, analytics and customer experience leadership across the enterprise.  Collaborates to support enterprise data strategy.
  • Assesses and illustrates tradeoffs between customer value and satisfaction and company value/financial performance metrics.
  • Supports, advocates and contributes to maturation of customer experience practice within segment.
  • Works effectively with corporate partners to execute segment strategy and add customer value.

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