Network Health - Menasha, WI

posted 2 days ago

Remote - Menasha, WI
Insurance Carriers and Related Activities

About the position

Network Health is seeking a Actuary - Financial Analysis. The Actuary - Financial Analysis is the lead actuarial resource for financial/management reporting and experience analysis for Network Health. Product line support will include Commercial Group, Medicare Advantage, ACA Individual and Stop Loss lines. This position supports the Actuarial Services Department with key accountabilities of leading monthly financial reporting of medical cost trends, enforce book of business metrics, actual versus budget variance reporting, ad-hoc experience studies and related analytics/reporting.

Responsibilities

  • Accountable for financial/management reporting and experience analysis.
  • Leads the Actuarial Department in monthly financial reporting including actual versus budget results.
  • Monitor, evaluate and respond to emerging issues/trends in the insurance, regulatory, or legal climates.
  • Complete all assigned actuarial analyses on time and in accordance with Actuarial Standards of Practice.
  • Responsible for coordinating and aligning the product line projections for annual budgets and reforecasts.
  • Supports Network Health capital planning via quarterly actuarial projections and assumptions by legal entity.
  • Conducts oneself in a manner which promotes quality and service excellence for clients, members, physicians, staff and the community.

Requirements

  • Strong financial reporting competencies including holistic understanding of health insurance valuation.
  • Ability to analyze experience trends and develop improvement plans necessary to meet corporate growth and profitability measures.
  • Intermediate Excel skills required, advanced preferred.
  • Intermediate Word skills required.
  • SAS and SQL preferred but not required.
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