Description and Requirements
The Manager of Actuarial Services is responsible for coordinating and performing the analysis of the Forecast and Budget for all lines of business, as well as monitoring product performance and trends each month. This individual will work closely with other areas of the organizations to gather input and communicate results of the Forecast and Budget. Hybrid Work Schedule consists of reporting to our 100 Church Street, NYC office 3 days per week.
The Manager Actuarial Services - Trend is responsible for managing actuarial analysis, modeling, and deliverables related to Medical Trend across all Healthfirst lines of business, as outlined in the scope of responsibilities.
Scope of Responsibilities:
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- Build and maintain models for analyzing historical medical trend which normalize for impacts of seasonality, fee schedules, benefits, population changes, etc.
- Monitor and interpret drivers of medical trend separating unit cost, utilization, mix, severity, etc.
- Track and assess industry trend resources, where applicable.
- Partner with other teams to align on emerging trends and insights.
- Develop projection trend assumptions/factors, including model and method development, to support other actuarial functions such as reserving, forecasting, and pricing.
- Participate in monthly close meetings, Quarterly Business Reviews, and Annual Budget on topics related to explaining medical trend experience, drivers, assumptions, and projections.
- Manage and direct staff as appropriate.
Required Qualifications:
- Bachelor's degree in actuarial science, Math, Economics, Finance or any related degree
- Experience in the actuarial field related to Medical Trend
- Experience working with medical claims codes and datasets
- Experience with programming/coding, preferably SAS, SQL, or Python
- Ability to collect, analyze and summarize qualitative/quantitative data
Preferred Qualifications:
- ASA (Associate, Society of Actuaries) membership
- MAAA (Member, American Academy of Actuaries) membership
- Prior work experience managing one or more staff
Hiring Range:
- Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
- All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.