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Director & Actuary- Part D (Work from home)

Role overview

Qualifications

  • Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics
  • Fellow of the Society of Actuaries (FSA)
  • At least 7 years of actuarial experience in the health insurance or related field
  • Verbal and written communications skills

Responsibilities

  • Ensures appropriate modeling and technical development within the team
  • Communicates effectively across the company and with external parties
  • Manages long term complicated projects and work streams
  • Drives a continuous improvement culture in the department

Key facts

Hard skills

Other skills

  • Strategic Planning
  • Team Leadership
  • Verbal Communication Skills

About the company

Health Care Service Corporation logo

Health Care Service Corporation

Health Insurance (Payers)

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for directing highly complicated work teams of actuaries, long term projects and work streams or for providing insight and guidance to highly complicated long term projects and work streams that require unique skills. Setting or participating in setting the strategy for success in the area. And developing compelling written and oral presentations to senior leadership that clearly drive the delivery of information for high-level decision making. Must also possess and demonstrate an expert level understanding of actuarial concepts, multiple actuarial areas and one or more business segment.

Job Responsibilities:
* Ensures that the appropriate modeling is being done and that the team continues to develop technically. Develops and drives the strategy for the most appropriate tools, technology and resources for the team to use.
* Complies with, monitors their staff for compliance with, and ensures their areas have appropriate monitoring in place for all applicable compliance requirements and all Actuarial Standards of Practice.
* Communicates effectively across the company and with external parties. Ensures that the appropriate information is making its way to all levels of the organization. Has ability to develop compelling written and oral presentations to senior leadership that clearly drive the delivery of information for high-level decision making.
* Determines strategies to develop and improve key relationships in the areas and with external areas. Determines all areas where key relationships should exist.
* Understands complex actuarial concepts, multiple actuarial areas and one or more business segment all at expert level. Possesses broad applicable market knowledge and has processes in place to track best practices in their areas of expertise.
* Directs highly complicated work teams. Manages long term complicated projects and work streams.
* Manages and develops a team of Directors and below. Supports and guides director in building effective teams.
* Drives a continuous improvement culture in the department. Improvements result in administrative savings or financial improvements that are recognized by peers and leadership.
 

Required Job Qualifications:
* Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics. Other Bachelor (or higher) Degrees may be considered.
* Fellow of the Society of Actuaries (FSA) and Membership in the American Academy of Actuaries (MAAA). In place of attainment of FSA, 4 years of actuarial experience in the health insurance field at the ASA level may be substituted. Compliance with all the membership requirements for each professional designation.
* At least 7 years of actuarial experience in the health insurance or related field.
* Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations.
* PC proficiency to include Word and Excel.

* Overseeing the annual budget and allocating resources for various projects and operational needs.

* Translating needs and initiatives into compelling business cases.

* Conducting cost-benefit analyses to justify investments and ensure ROI.


Preferred Job Qualifications:
* Pricing for Medicare Advantage Part D

#LI-TR1

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This is a Telecommute (Remote) role. Remote employees must live within the continental United States, excluding  Alaska, California, Hawaii or New York. Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$133,400.00 - $247,700.00

Exact compensation may vary based on skills, experience, and location.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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