Director, Actuarial Services

Job not on LinkedIn

🔥 3 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🔴 Lead

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Lead the MedInsight Payer Analytics platform and a designated portfolio of Medical Economics analytics functions • Set analytic direction and priorities • Oversee analytics deliverables, staff, audits, performance models, and reserves • Develop and maintain analytic standards for financial recast models and utilization and expense trends • Oversee product pricing, pricing models and tools, product strategies, and regulatory approval • Guide forecasting, analytics, underwriting, and performance monitoring functions • Develop trends, monitor financial performance, evaluate provider, vendor, and reinsurance agreements, and benchmark performance • Serve as subject matter expert on regulatory reform and legislative changes • Support strategic initiatives through ideas, market research, financial modeling, business plan development, and implementation • Direct IT teams on data aggregation, partitioning, and extract rules • Collaborate with departments to ensure accurate and timely operations • Provide guidance and support to developing actuarial talent

🎯 Requirements

• Bachelor's Degree (Required) • Minimum of 3 years of managerial/supervisory experience (Required) • Minimum of 7 years of health insurance/managed care experience (Required) • Healthcare analytics experience • Medical Economics experience • Leadership experience • Experience with financial recast models, utilization and expense trends, audits, performance analytic models, claim and premium deficiency reserves, product pricing, forecasting, underwriting, performance monitoring, regulatory reform, financial modeling, business plan development, and data management • Office Administration skills

🏖️ Benefits

• Healthcare benefits for full-time and part-time positions from day one • Vision insurance • Dental insurance • Domestic partner benefits • Collaborative, cooperative, and collegial work atmosphere

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