Manager, Actuary/ASA- Remote in VA

City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Healthcare is currently hiring a Manager, Actuary!

This is a Full Time position with day shift hours and great benefits!

Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Primary responsibilities include:

• Managing the accurate and timely data and financial analysis on various actuarial/financial project for pricing of Health Plans offered benefits plan accordingly.
• Lead and mentor to staff and oversee their basic actuarial work
• Manage day to day operations
• Analyze each policy to ensure it will be profitable and beneficial for utilization
• Manage statistical data to analyze, then present findings to government officials, shareholders, executives, and clients.
• Must have knowledge of statistics, probability, and calculus
• Strong written and verbal communication skills to clearly relay information to other employees at the company and the clients.
• Analytical sills to determine specifics of insurance policies and avoid any errors
• Experience with computers and statistical modeling software
• Knowledge of business and financial concepts
• Organizational skills to keep track of multiple projects or cases at a time
• With 1 direct report

Required job qualifications:

• Education: Bachelor's Degree
• Experience: 5 years of Actuarial Experience
  Licenses & Certifications: Associate of Society of Actuaries required,
• Member of the American Academy of Actuaries required
• Health insurance/MCO/Managed Care experience required

Preferred job qualifications:

• Fellow of Society of Actuaries preferred

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.

Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

For applicants within Washington State, the following hiring range will be applied: $ 112,759.92 to $185,806.40/annually and up to 15% Management Incentive.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Keywords: Remote, Actuary, Bachelor's, ASA, FSA, Healthcare, Health Plan, Managed Care, MCO, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

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Talroo - Health Plan

Job Summary

This person may manage and mentor both actuarial and non-actuarial staff in support of rate development, rate filings, rating factors, IBNR and other financial and actuarial reporting. The Manager, Actuary will also be responsible for monitoring, maintaining, and as needed developing tools used by underwriters. This person should be knowledgeable in general functions of a qualified Health Actuary and be capable in monitoring emerging experience of various products to include at least one of: Large Group and Small Group (both with various funding arrangements), Individual products, Medicaid, Medicare products, Risk Adjustment reporting.

Job Requirements

Managing the accurate and timely data and financial analysis on various actuarial/financial project for pricing of Health Plans offered benefits plan accordingly.

Lead and mentor to staff and oversee their basic actuarial work

Manage day to day operations

Analyze each policy to ensure it will be profitable and beneficial for utilization

Manage statistical data to analyze, then present findings to government officials, shareholders, executives, and clients.

Must have knowledge of statistics, probability, and calculus

Strong written and verbal communication skills to clearly relay information to other employees at the company and the clients.

Analytical sills to determine specifics of insurance policies and avoid any errors

Experience with computers and statistical modeling software

Knowledge of business and financial concepts

Organizational skills to keep track of multiple projects or cases at a time

Qualifications:

Education

Bachelor's Degree

Experience

5 years of Actuarial Experience

Licenses & Certifications

Associate of Society of Actuaries required

Fellow of Society of Actuaries preferred

Member of the American Academy of Actuaries required

Qualifications:

BLD - Bachelor's Level Degree (Required)

Associate of the Society of Actuaries (ASA) - Other/National, Fellow of the Society of Actuaries (FSA) - Other/National

Actuarial

Skills

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.