Consulting Actuary - TCOC/Med Econ

Posted Yesterday
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Hiring Remotely in United States
Remote or Hybrid
142K-230K Annually
Senior level
Healthtech
The Role
Performs advanced actuarial analysis of health insurance issues, rates, underwriting criteria, forecasts, variances, provider contracts, benefit designs, and financial performance. Supports all lines of business, product development, delivery systems, regulatory compliance, and cross-functional workgroups. Provides leadership and develops Actuarial Analysts while operating with minimal supervision.
Summary Generated by Built In

Job Summary:
Complete high-level Actuarial work responsibilities that are near that of the level of Actuarial Director with minimal supervision and required guidance from Actuarial Director. Actively foster the professional development of other Actuarial Analysts. Provide in-depth analysis of complicated insurance issues, incorporating extensive health background information and cross-functional input.

 

Essential Functions:

  • The essential functions listed represent the major duties of this role, additional duties may be assigned. 
  • Provide in-depth analysis of complicated insurance issues, incorporating extensive health background information and cross-functional input.
  • Support and analyze activities related to all lines of business.
  • Maintain and improve Actuarial analyses such as trend setting, gross margin reporting, and financial forecasting.
  • Establish/develop and analyze rates, rating methodologies, and underwriting criteria.
  • Represent Actuarial on cross-functional workgroups as an active participant.
  • Analyze and report forecasts/variances.
  • Support Product Development, including assisting benefit design.
  • Analyze the structure and impact of provider contracts.
  • Support Delivery Systems.
  • Provide leadership in ensuring compliance with the Office of Insurance Regulation.


Required Work Experience:
8+ years related work experience. 
Related Bachelor's degree required Actuarial Science, Math, Statistics or related 
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) 
Ability to communicate and present detailed business and financial information in a clear and concise way to all levels of management 
In-depth knowledge of various aspects of health insurance 
Familiarity with programming languages 
PC software (spreadsheets, graphics, word processors)

Additional Preferred Qualifications
10 or more years of successful, progressive professional work experience SAS and/or SQL experience 
 

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
What We Offer: 
As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. 
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
 

  • Medical, dental, vision, life and global travel health insurance;
  • Income protection benefits: life insurance, short- and long-term disability programs;
  • Leave programs to support personal circumstances;
  • Retirement Savings Plan including employer match;
  • Paid time off, volunteer time off, 10 holidays and 2 well-being days;
  • Additional voluntary benefits available; and
  • A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 
Annualized Salary Range: $141,700 - $230,200
Typical Annualized Hiring Range: $150,000 - $185,000
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.

Skills Required

  • 8 or more years of related work experience
  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field
  • Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation
  • Ability to communicate and present detailed business and financial information clearly and concisely to all levels of management
  • In-depth knowledge of various aspects of health insurance
  • Familiarity with programming languages
  • Proficiency with PC software, including spreadsheets, graphics, and word processors
  • 10 or more years of successful, progressive professional work experience
  • Experience with SAS and/or SQL
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The Company
HQ: Jacksonville, FL
200 Employees
Year Founded: 2014

What We Do

GuideWell Mutual Holding Corporation is a not-for-profit mutual holding company that is the parent to a family of forward-thinking companies focused on transforming health care. We’re at the forefront, forging ahead by innovating, collaborating and advocating for better health. We help people make sense of this new world, forming an integrated ecosystem of products and services and ensuring they get the best experience. We’re relentlessly building and refining to drive higher efficiency and exceptional care. GuideWell – Built for the future of health.

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