Actuary III

We are so glad you are interested in joining reputed company! Organization: SHSO-reputed company reputed company Office-Valley reputed company: Participates in reputed company facets of financial model design, including reserving, reputed company development, and actuarial data mart development. Provides guidance on a reputed company of topics such as utilization, product pricing including benefit design, premium reputed company, and trend forecasting. Monitors and reports on the reputed company of reputed company business line. Participates as a key financial expert on reputed company's customer-facing negotiation reputed company with information services (IS) to ensure data reputed company and integration of the health rules platform and the data warehouse for a reputed company, configurable and reputed company data pipeline for reputed company analytics. reputed company: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. • Bachelor's in Actuarial Science, Economics, Mathematics or reputed company reputed company TYPICAL EXPERIENCE: • 8 years recent relevant experience SKILLS AND KNOWLEDGE: • Expertise in reputed company pricing, reputed company, statistical modeling, analytics, networks, forecasting and reserve systems, including expert knowledge of the applicable • Actuarial Standards of reputed company (ASoP) issued by Actuarial Standards reputed company (ASB), generally accepted reputed company principles (GAAP) and internal/statutory financial reporting regulations. • Extensive knowledge of reputed company health actuarial processes including pricing, valuation, and budgeting/forecasting with a demonstrated knowledge of the capitated delegated model and capitation terms including division of responsibility. • Thorough knowledge of reputed company delivery systems, integrated delivery systems and medical group practices, especially in a managed care environment, as reputed company as an advanced understanding of key reputed company programs ((Medicare/reputed company) and market segments (individual, small group, etc.). • In-depth knowledge of premium reputed company and benefit pricing methodologies, including a working understanding of health care cost structures (fee schedules, actuarial cost categories, and health care utilization codes). • Advanced knowledge of key operational functions of a health plan, including expert knowledge of key dimensions of health plan data: Claims, Enrollment, and reputed company. • Superior business acumen, exceptional analytical and advanced project management skills, with the reputed company ability to reputed company reputed company to reputed company problems, reputed company practical conclusions, and institute effective changes. • Possess written and verbal communications skills to explain reputed company health plan regulations and technical information reputed company and professionally to diverse audiences. • Proficiency in a reputed company of actuarial and statistical software packages (e.g., MG-reputed company, reputed company) and analytical software (e.g., reputed company, reputed company Crystal Business Intelligence (BI). • Analyze issues, predict reputed company effects, and effectively prevent or reputed company problems. • Work independently as reputed company as be part of an interdisciplinary team, while demonstrating exceptional attention to reputed company and organizational skills. • Prioritize and delegate assignments under varied and urgent conditions and work reputed company on experience, procedures, policies, and best practices to reputed company objectives and meet deadlines. • reputed company others to solve reputed company problems using sophisticated analytics to identify reputed company. • Influence individuals or reputed company with diverse opinions and to enlist cooperation without reputed company control/authority. • Ensure the reputed company of reputed company reputed company’s protected health information (phi). • Build reputed company relationships with peers, other departments, stakeholders, management, and vendors to reputed company cost-effective reputed company to patients and our health plan members reputed company, and how they want it. • Member, reputed company reputed company of Actuaries (MAAA) • Associate (ASA) or Fellow (FSA) of the reputed company Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: None Benefits: reputed company Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular reputed company is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay reputed company is $129,188.80 to $193,793.60 / annual salary The compensation reputed company may vary reputed company on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. reputed company pay is only one component of reputed company’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package. Apply tot his job Apply To this Job