Executive Director, Actuary Job at Confidential, San Antonio, TX

ZGRDTU80bjZhVkFqd0hkL05Bd3Nnc1RjcXc9PQ==
  • Confidential
  • San Antonio, TX

Job Description

Executive Director, Actuary

About the Company

Reputable healthcare organization

Industry
Health, Wellness and Fitness

Type
Privately Held

About the Role

The Company is seeking an Executive Director, Actuary to play a pivotal role in driving and supporting the company's strategy. The successful candidate will be responsible for managing actuarial expertise to ensure actuarial soundness and using actuarial knowledge and tools to enhance the profitability of health plan lines of business. This includes monitoring claims trends, investigating aberrations, tracking member risk scores for risk adjustment analysis, and conducting ongoing analysis of utilization trends. The role also involves assisting in various actuarial filings, coordinating with external consultants and internal staff, and supporting the annual budget process. The ideal candidate will have a strong background in the actuarial industry, particularly in healthcare, and experience with managed care and state/federal government programs. Candidates for the Executive Director, Actuary position at the company should have a Bachelor's degree in Actuarial Science, Mathematics, or Finance, with a minimum of 5 years' experience in the actuarial industry, specifically in healthcare. A background in Medicaid, commercial, and/or MA business, including rate negotiations, design, and state and federal reporting requirements, is essential. The role requires proficiency in Excel, computer coding (SQL/SAS), and strong analytical skills in medical claims trends, reserving, forecasting, and pricing. The ability to communicate complex analytical results effectively and provide guidance to entry-level staff is also necessary. While not mandatory, an Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA) are preferred. Experience with state or federal regulators, CMS, or other external regulatory entities is a plus.

Travel Percent
Less than 10%

Functions

  • CEO/President
  • Non-Profit Management
  • Finance
  • Operations
  • Strategy
Confidential

Job Tags

Similar Jobs

Sanford Health

Radiology Technologist (Straight Nights) - Full-Time Job at Sanford Health

 ...who are dedicated to the work of health and healing across...  ..., ND 58501, USA Shift: Night Job Schedule: Full time Weekly Hours: 40.00...  ...qualifying full-time and part-time employees. Depending...  ...package to maintain a healthy home-work balance. For more information... 

CMHC - SCHL

English to French Editor / Translator Job at CMHC - SCHL

 ...environment. About the role Join the Corporate Services sector, in the Editor/Translator Position. In this role, your tasks will include translating various texts from English to French and revising texts translated by the external service provider. You will also... 

Accountable Healthcare Staffing

Special Education Teacher - Schools Job at Accountable Healthcare Staffing

 ...stipends converted to an hourly rate based on a 35 - 40 hour work week Accountable School Staffing is currently interviewing Special Education Teachers for an ASAP assignment in Aurora, CO! We are working with a district to provide a full-time Mild/Mod SPED Teacher for... 

Tenet-AZ Region

Registered Nurse (RN) - Labor and Delivery Job at Tenet-AZ Region

 ...Job Description Tenet-AZ Region is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Nogales, Arizona. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Duration: Ongoing ~36 hours per week ~ Shift... 

Suno

Office Admin - Part Time Job at Suno

 ...consists of everyday people making music - often for the first time. We are a team of musicians and AI experts, including alumni from Spotify, TikTok, Meta and Kensho. We like to ship code, make music and drink coffee. Our company culture celebrates music and experimenting...