Actuarial Services Director jobs in Sioux City, IA

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)

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Director-Patient Financial Services
  • Faith Regional Health Services
  • Norfolk, NE FULL_TIME
  • Work Status Details : Management | 80.00 Hours Every Two Weeks
    Exempt from Overtime : Exempt
    Shift Details : Varies based upon department/organizational needs
    Department : Patient Financial Services Admin | Reports To: VP Finance


    The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care.

    Summary:

    The Director is responsible for all functions of the department. Plans, directs, coordinates, evaluates, and requires a sound knowledge of the overall Patient Financial Services, Registration, Central Scheduling, Communications, and Interpreters Departments. Promotes safety and well-being of all patients and/or staff in the assigned department(s) on a twenty-four hour basis. The Director will have demonstrable skills in leadership, management, interpersonal relations, conflict resolution, and problem solving.

    The functions of the Director include: financial management of the department including budget development and ongoing evaluation; management of human resources; responsibilities and duties as a member of a multi-disciplinary team; leadership as a mentor for staff members; strategic planning; day to day operations; procurement and maintenance of supplies and equipment, including purchasing capital equipment; contract maintenance; maintaining and developing hospital policies and procedures; identifying and implementing performance improvement initiatives and evaluation effectiveness; maintain departmental regulatory compliance; developing and implementing a patient/customer focused staffing plan. The Director participates in, or delegates appropriate participation in all performance improvement teams, medical staff committees and work teams.

    The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.


    Responsibilities:

    Essential Job Duties and Responsibilities:

    1. Performs duties and responsibilities according to job description and VP's direction, following department policies and procedures with the knowledge and understanding of the difference in effective, tactful interaction required for a patient or client as compared to an employee.

    • Provides input for the budgetary process to include both admissions and patient billing needs that reflects department and facility goals in order to maintain department expenses within acceptable limits.

    • Performs supervision of Patient Financial Services departments by:

    • Interviewing and hiring new personnel as needed to maintain adequate completion of processes within the departments.
    • Providing appropriate orientation of new staff to the departmental goals, objectives, policies, procedures and service statement.
    • Appraising personnel performance within pre-set guidelines, completing annual and orientation evaluations of all employees in a timely manner.
    • Approving weekly payroll for department personnel.
    • Assisting departmental staff in various functions required to monitor and collect delinquent patient accounts.
    • Implementing appropriate training programs.
    • Assigning responsibilities to provide the best outcome, maximizing efficiency of service delivery, as well as developing and implementing contingency plans addressing staff fluctuations.
    • Setting effective policy and procedures for day-to-day activities.
    • Counseling and assisting staff with problem solving processes.
    • Initiating or suggesting plans to motivate employees to achieve work goals.
    • Recommending or initiating personnel actions such as promotions, transfers, discharges, and disciplinary measures.
    • Providing methods of recruitment, retention, and salary adjustment for departmental staff.
    • Assisting in developing continuing education opportunities to assure that the staff is trained in technology, product, procedures, mandatory requirements, and quality improvement.
    • Developing and revising position descriptions for Human Resources.
    • Interpreting and administering departmental and hospital policies.
    • Attending and participating in various committee meetings within the organization.

    • Create, review, revise, and implement departmental policies for Patient Financial Service Departments by allowing for timely, accurate generation of claims and receivables to ensure adequate and quality service delivery of the department by:

    • Consistently observing current processes.
    • Synthesizing, compiling, and analyzing current regulatory changes to keep department services current with the latest billing/collection requirements, as well as for development and expansion of services.
    • Considering complaints and compliments from sources within and without the hospital setting.
    • Incorporating constructive employee input.

    • Facilitate monthly meetings by:

    • Informing employees of changes in hospital policies and procedures, as well as third party payer reimbursement and billing issues.
    • Educating staff about trends affecting the department and its processes.
    • Training employees on an on-going basis to further enhance their contribution to the overall success of Faith Regional Health Services.
    • Reviewing newsletters that are appropriate to discuss and share with staff.
    • Allowing staff to provide input for suggestions on processes and procedures.

    • Reports monthly on departmental progress to the Vice President Finance and Chief Financial Officer (CFO) including but not limited to:

    • Budget variance analysis, productivity, objectives, goals and concerns, operation issues and statistical information for days A/R outstanding, A/R aging, claims per biller, Account assigned by collector, and other key performance indicators.

    • Develops short- and long-range goals for the department to give direction and effectively supervise the department develops objectives to meet these goals.

    • Develops and implements mechanisms to ensure compliance with all of the hospital's billing procedures including internal audits to verify claims are accurate and proper.

    • Knowledge of hospital regulatory requirements for revenue cycle functions including Pricing Transparency Policies, No Surprise Billing, and 501r and establish proper policies and procedures to keep the hospital in compliance with all regulatory requirements.

    • Responsible for setting up and running the Quarterly Revenue Cycle meetings.

    • Assists with analysis of payor contracts and negotiations that take place with payors.

    • Assists in formatting the hospital's credit and collection policy and administers "write-offs" in accordance with the board-approved credit and collection policy.

    • Cultivates, maintains, and enhances intradepartmental and medical staff relationships.

    • Supervises preparation of delinquent accounts for collection and acts as liaison for the hospital in the collection process; develops and maintains effective collection processes to minimize accounts receivable turnaround.

    • May be called upon to assist with the hospital's representation in court appearances relative to credit and collection matters.

    • Demonstrates clear, concise communication at all times in order to achieve positive outcomes.

    • Establishes priorities in planning and organizing duties assigned to affect appropriate completion of duties assigned.

    • Responsible for maintaining a departmental climate of openness, fairness, acceptance of feedback, and discussion of ideas within the department.

    • Resolves conflicts both within and outside the department in an appropriate manner.

    • Supports and works effectively with multidisciplinary health care team providing patient-focused care.

    • Actively participates in Performance Improvement/PI efforts and uses information to further enhance the quality of patient care.

    • Validates through CQI/PI that Performance Improvement Services are achieved.

    • Maintains accurate records and Performance Improvement Systems.

    • Demonstrates practices to keep all medical record information protected and confidential.

    • Demonstrates behaviors that promote positive customer relations with physicians, staff, patients, and visitors.

    • Follows Patient's Rights policies at all times.

    • Performs other related duties as assigned or requested in a cooperative professional manner.

    • Actively endorses and promotes performance improvement within all areas of responsibility and on an organization-wide basis.

    • Implements and manages performance improvement activities within all service areas provided by the department.
    • Accountable for attendance at 85% of all Department Director Management Meetings, and at all pertinent committees and work teams as appropriate.

    Essential Management/Leadership Duties and Responsibilities:

    1. Accomplishes department objectives by managing staff; planning and evaluating department activities.

    2. Organizes and oversees the staff by recruiting, selecting, orienting, and training employees. Coaches, counsels, and disciplines employees.

    3. Accomplishes staff results by communicating job expectations, planning, monitoring, and appraising job results. Conducts performance evaluations that are timely and constructive.

    4. Ensures a safe, secure, and legal work environment.

    5. Contributes to team effort by accomplishing related results as needed.

    6. Develops, coordinates, and enforces systems, policies, procedures, and productivity standards that will improve day-to-day operations.

    7. Establishes strategic goals by gathering pertinent business, financial, service, and operations information.

    8. Defines objectives, identifies and evaluates trends and options, chooses a course of action, and evaluates outcomes.

    9. Accomplishes financial objectives by forecasting requirements, preparing an annual budget, scheduling expenditures, analyzing variances, and initiating corrective financial actions.

    10. Develops personal growth opportunities.

    11. Maintains quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems, and recommending improvements.

    12. Projects a positive image of the organization to employees, patients, customers, and the community.

    13. Using Hardwiring for Excellence tools and techniques; Leadership Evaluation Management (LEM); My Rounding.

    • Accountable for keeping the Vice President (DON) informed of all critical issues and progress made in process improvement activities.

    Maintain an attendance of 85% of all Department Director Management Meetings, and at all committees and work teams as appropriate.

    Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    Other information:

    Job Requirements:

    The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.

    EDUCATION:

    Bachelor’s Degree required.

    EDUCATION FIELD OF STUDY:

    Business Administration, Accounting or related discipline required.

    Previous Experience Requirements:

    EXPERIENCE:

    5 years of experience in management/organization required.

    Previous healthcare accounts receivable experience preferred.

    Skills/Knowledge Requirements:

    SKILLS:

    Language Skills – Ability to read, write, speak, and understand the English language required.

    Strong analytical capabilities preferred.


    Faith Regional Health Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

  • 1 Month Ago

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Director of Perioperative Services
  • Clinical Management Consultants
  • Oneill, NE FULL_TIME
  • A Beautiful Central Nebraska hospital is looking for a RN Perioperative Director to complete its high caliber Surgery Department and continue providing high-quality care to the surrounding population....
  • Just Posted

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Director of Event Services
  • BUENA VISTA UNIVERSITY
  • STORM LAKE, IA FULL_TIME
  • Buena Vista University has an opening for a Director of Event Services. This position will be an integral team member responsible for planning, coordinating, and executing exceptional events for our c...
  • Just Posted

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Environmental Services Director
  • Heritage Communities
  • Norfolk, NE FULL_TIME
  • Come Join Our Team Today! “Caring for those that once cared for us is one of life's greatest honors" We are looking for an Environmental Services Director to join us in making our community a home at ...
  • 22 Days Ago

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Business Services Director
  • Yankton Thrive
  • Yankton, SD FULL_TIME
  • Organization: Yankton ThrivePosition: Business Services DirectorReports to: CEOEmployment Status: Full-time Position Summary The energetic Business Services Director (BSD) will collaborate with the CE...
  • 8 Days Ago

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Director of Disabilities Services
  • Northeast Community College
  • Norfolk, NE FULL_TIME
  • Posting Details Classification Title Full Time Monthly Staff Posting Number FY17/18425SF Position Status Full-time FLSA Exempt Salary and Benefits This position is in a Salary Grade PM6, with a minimu...
  • 10 Days Ago

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0 Actuarial Services Director jobs found in Sioux City, IA area

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Delivery Driver
  • Trillium Staffing
  • Sioux City, IA
  • Trillium Drivers is now seeking Non CDL Delivery Drivers in Sioux City! Schedule is Monday - Friday, 7 am to 4 pm. Pay r...
  • 4/24/2024 12:00:00 AM

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Server-Main+Abbey Part Time
  • Hard Rock Hotel and Casino Sioux City
  • Sioux City, IA
  • POSITION SUMMARY The incumbent in this position is responsible for serving food and beverages in accordance with company...
  • 4/24/2024 12:00:00 AM

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Retail Grocery Supervisor - Inventory
  • WIS Inventory Solutions
  • Sioux City, IA
  • Job Posting: Retail Grocery Supervisor - Inventory Starting Wage From: $20.00-$25.00 Part Time: Paid hours depend on you...
  • 4/24/2024 12:00:00 AM

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CDL-A Company Tanker Truck Drivers
  • Hiring Now!
  • Sioux City, IA
  • Fort Transfer, a division of Kenan Advantage Group, is currently hiring Dedicated Company Truck Drivers in your area! Jo...
  • 4/24/2024 12:00:00 AM

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Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
  • Western Express
  • SIOUX CITY, IA
  • HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 383-4915 Real Miles. Real Money. Western Express has immed...
  • 4/24/2024 12:00:00 AM

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Insurance Sales Professional (Training Bonus)
  • PMA USA (Performance Matters Associates, Inc.)
  • Sioux City, IA
  • **** MUST LIVE IN IOWA **** PMA USA (Performance Matters Associates, INC.), is a national company that provides insuranc...
  • 4/23/2024 12:00:00 AM

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Claims Coordinator I
  • Wells Enterprise
  • Le Mars, IA
  • Job Description Under general supervision, provide financial, administrative and clerical services related to Customer C...
  • 4/23/2024 12:00:00 AM

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*Registered Nurse-ER-Emergency Room
  • TotalMed
  • Sioux City, IA
  • We are seeking a Registered Nurse-Emergency Room for a travel assignment in Sioux City Iowa.
  • 4/23/2024 12:00:00 AM

Sioux City (/suː/) is a city in Woodbury and Plymouth counties in the northwestern part of the U.S. state of Iowa. The population was 82,684 in the 2010 census, which makes it the fourth largest city in Iowa. The bulk of the city is in Woodbury County, of which it is the county seat, though a small portion is in Plymouth County. Sioux City is located at the navigational head of the Missouri River. The city is home to several cultural points of interest including the Sioux City Public Museum, Sioux City Art Center and Sergeant Floyd Monument, which is a National Historic Landmark. The city is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Actuarial Services Director jobs
$262,095 to $368,189
Sioux City, Iowa area prices
were up 0.8% from a year ago

Actuarial Services Director in Spokane, WA
Responsible for stat and federal filings including actuarial certification.
December 28, 2019
Actuarial Services Director in Lafayette, LA
JOB SUMMARYThe Manager of Actuarial Services will serve under the general direction of the VP of Finance and is responsible for supervising, gathering and evaluating membership claims and premium data for ratemaking, budgeting, benefits, trends, provider networks, etc.
December 26, 2019
Actuarial Services Director in Grand Forks, ND
Applying probability and statistics to the practical problems of insurance, our actuarial team performs a variety of duties, including calculating the cost of premiums and policy values, preparing statistical studies, and forecasting financial results.
February 20, 2020