Senior Director improving healthcare quality ratings and provider performance for Community Health Plan of Washington. Overseeing strategic initiatives focused on Medicaid and regulatory compliance.
About the role
- Director of Reserving overseeing actuarial teams at the insurance company. Responsible for data analysis, team direction, and reporting to Senior Leadership.
Responsibilities
- Manages and directs the work of the reserving team (e.g., Actuaries, Analysts), including keeping everyone on task to complete recurring assignments within tight timeframes.
- Turns data into critical information and knowledge that can be utilized to determine organizational decisions. Presents findings to Senior Leadership.
- Selects actuarial assumptions and methods based on all available sources of data, reviews alternative assumptions, and is prepared to explain and defend assumptions upon review by peers, senior leaders, and non-actuaries.
- Develops and maintains analytical standards and procedures, including peer reviews, to ensure consistency of analysis, execution, knowledge sharing, and documentation.
- Monitors legislative and regulatory activity. Incorporates the effects of benefit and rate changes into actuarial analyses.
- Actively engages with and participates in industry professional organizations and rating committees, representing the company's strategic interests while presenting as an expert thought leader within the professional community.
- Prepares and presents ad-hoc research and reporting.
Requirements
- EDUCATION: Bachelor's degree in Actuarial Science, Mathematics, Statistics, Risk Management, Data Science, or other quantitative field required.
- REQUIRED CERTIFICATIONS/LICENSES: Fellow or Associate of the Casualty Actual Society
- EXPERIENCE:
- Minimum of seven (7) years of relevant FCAS experience with insurance industry concepts and applications required. .
- Experience working with Willis Towers Watson ResQ preferred.
- TECHNICAL SKILLS:
- Possesses sound data analytical skills and familiarity with Microsoft Office applications (Excel, MS-Access, MS-SQL).
- Knowledge of workers compensation standards and best practices preferred.
Benefits
- Bonus Eligibility
- Hybrid Work Schedule (up to 2 days work from home)
- Paid Time Off
- Paid Holidays
- Immediate Vesting of Retirement Savings + Company Match
- Group Health Insurance (Medical, Dental, and Vision)
- Life and AD&D Insurance
- Long Term Disability Insurance
- Hospital Indemnity Insurance
- Accident and Critical Illness Insurance
- Flexible Savings Accounts
- Paid Community Volunteer Day
- Employee Assistance Program
- Tuition Reimbursement Program
- Employee Referral Program
- Diversity, Equity and Inclusion Program
Job title
Job type
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Degree requirement
Tech skills
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