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Director, Underwriting & Actuarial Services - Medicare Programs

Director, Underwriting & Actuarial Services - Medicare Programs

Job Description

This position is responsible for developing Best Practice actuarial models and promotes their implementation throughout the Government Program products that FCHP participates in. Conduct actuarial studies, develop and recommend actions to executives and to the leadership team at FCHP and assist in the implementation to improve plan performance – profitability and membership growth.  Major responsibilities include developing actuarial models for pricing, development by product with attention to local markets. Conduct actuarial studies and develop and recommend action plans. Provide actuarial certification and opinion to support regulatory filing and management decisions and oversee the completion of the Medicare Bid process. Define standards of expertise and assist in training the actuarial staff in the use of Best Practice models and other industry recognized pricing tools. Manage and develop staff. 

Responsibilities
  • Develop Best Practice actuarial models for pricing and business analysis for Government business product lines.
  • Provide actuarial expertise to support governance and oversight, i.e. monthly, quarterly, and annual review timelines.
  • Conduct actuarial studies, develop, recommend actions to senior leadership and assist in the implementation to improve plan performance program wide
  • Keep current on regulatory changes & provide actuarial certification and opinions to support regulatory filings and management decisions and oversee the completion of the Medicare Bid process.
  • Analyze competitive information from other departments within FCHP in order to keep apprised of local and industry trends.

Job Requirements

10 years of successful past experience in relevant health plan/health insurance actuarial and underwriting experience

Minimum requirements: At least 5 years of successful past experience in relevant health plan/health insurance actuarial and underwriting experience



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Job Snapshot

Employment Type Full-Time
Job Type Finance, Insurance, Management, Accounting, Health Care
Education Graduate Degree
Experience At least 10 year(s)
Manages Others Not Specified
Industry Healthcare - Health Services, Insurance
Required Travel Not Specified
Job ID 3691
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Director, Underwriting & Actuarial Services - Medicare Programs


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