Conducts actuarial analysis on
various pricing drivers (ie: premiums, reserves, rate plans, contracting terms)
for assigned areas and provides actuarial management with information and
recommendations to manage company risk. Conducts extensive research to identify and
analyze internal and external factors which affect statistics for use in
forecasting, trending, and rate models, etc. Designs specific actuarial studies
and manages research projects as requested. Serves as a technical consultant
and SME to junior level actuaries, other departments and on projects.
actuarial research, experience studies and statistical analyses.
calculate and analyze rates, reserves, provider contract terms, etc.
guidance, recommendations and advice on rates.
Compile and verify data and prepare reports. Provide various levels of analysis and modeling work.
level of trend and profitability.
train and provide guidance and support to other actuarial associates
(i.e.: organize and assign work, provide quality checks on assigned work).
May also provide input for performance appraisals and development
and maintain documentation. Provide data to external agencies (auditors, DOI,
DMHC, etc.) as needed.
schedules and document factors.
departmental activity plans.
on cross-functional task forces, project teams or committees.
lead and/or be SME for these activities.
Bachelor’s Degree in Actuarial
Science, Mathematics, Statistics, Economics, Finance or related field.
at least four SOA exams.
or more years of experience in actuarial analysis or closely related analytical
care and/or health care experience preferred.