Actuarial Services Director directs the activities of an organization's actuarial function. Oversees the analysis and evaluation of potential risks to determine the financial impacts of new or existing insurance plans. Being an Actuarial Services Director develops policies, procedures, and formulas to guide statistical analysis and actuarial research and evaluate the likelihood and financial impact of various risks. Designs processes and guidelines to ensure regulatory compliance of products and financial operations. Additionally, Actuarial Services Director leads the design and development of insurance products by evaluating and approving insurance rates, premium levels, and rating systems and structures. Oversees the preparation of actuarial reports, financial statements, and regulatory filings and develops financial budgets, forecasts, and other financial projections. Researches and selects major rating assumptions to support accurate statistical analysis and evaluates the effectiveness of existing formulas. Evaluates product performance against established profitability targets and recommends modifications. Applies knowledge of mathematics, probability, statistics, principles of finance and business to calculations in life, health, social, and casualty insurance, annuities, and pensions. Requires a bachelor's degree. May require Associate of Society of Actuaries (ASA). May require Fellow of Society of Actuaries (FSA). Typically reports to senior management. The Actuarial Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be an Actuarial Services Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Description
The healthcare system isn’t designed for health. We’re designed to change that.
We’re Wellvana, and we help doctors deliver life-changing healthcare.
Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for primary care physicians, payors and health systems.
Physicians and health systems in our curated network retain full ownership while Wellvana takes on all the upfront risk, investing capital, people-power and customized medical management strategy to help each provider flourish on their path to full-risk value-based care.
We provide turnkey support to clinicians to reduce their administrative headaches and help them spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing.
Named a Best Place to Work by Nashville Business Journal and featured in Insider’s 33 startups “investors expect to take off in 2023,” we’re one of the fastest-growing companies in America because what we do works.
This is the way medicine is meant to be.
Clarity on the Role:
The Senior Director, Actuarial, will provide leadership and work closely with Wellvana’s analytics team in the development of value-based care insights supporting our vision, strategic direction and performance. Scope of duties will include but not be limited to medical and pharmacy expense analyses, pre-sales analytics, underwriting, actuarial forecasting, and population health management analyses. This role consults and collaborates with senior management regarding financial results, forecasting, and performance management. This position will be key in helping the business meet financial and key objectives by identifying and quantifying opportunities and risks, through key root-cause analyses, and providing recommendations. The role will need to be able to successfully work within a complex but nimble environment. This position will work closely with and report to the Chief Actuary.
What's Expected:
Requirements
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