Lead Director - Actuarial

• Lead/manage Plan and analytical support to achieve operating plan goals
• Influence business decisions, anticipate and recognize matters that materially affect financial results and make sound, unbiased reports on these matters
• Lead Actuarial interactions with Market leads – CEO, CFO, CMO and COO
• Interact and drive relationships with external partners, including the MCO Actuarial Coalition and the State’s Actuarial Consulting firm
• Provides oversight and guidance related to rate negotiations & renewals with respective internal and external constituents
• Develop recommendations and set forecast in collaboration with finance and business partners
• Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same
• Assure compliance with Medicaid contract and supplemental analysis requests from market leads or the State
• Influence/motivate resources within and outside of direct control to complete projects
• Review assumptions developed by staff from a business perspective and be able to influence senior management to accept alternative recommendations
• Manage high visibility and complex projects
• Allocate and align resources
• Coach, mentor and provide feedback to employees in development of technical skills or subject matter expertise
• Review reserve recommendations and communicate to health plan leaders

• Bachelor’s Degree along with 10+ years relevant actuarial work experience
• Membership in American Academy of Actuaries is required (ASA or FSA)
• Strong Communication & Collaboration Skills
• Strong Technical Skills Required (SAS, SQL, Excel)
• Proven track record of driving for results with multi-functional teams

Prior Commercial, Medicare or Medicaid experience strongly preferred

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility