Director, Underwriting/Pricing – Certified Actuary (FSA/ASA)

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $117.9k - $200.4k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🧬 Biotechnology

🧘 Wellness

💰 $101M Private Equity Round on 2004-01

Healthcare Insurance • Biotechnology • Wellness

Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.

📋 Description

• Responsible for the development and underwriting of new product financial and programmatic cost models • Work with existing models and customers on product enhancements and modifications • Prepare analyses and various ad-hoc projects for executive management • Develop, document, and apply underwriting procedures, analytical approach, and requisite tools for new products • Review utilization, cost trends, and other assumptions used in pricing models • Evaluate cost impact of new product initiatives and assess risk associated with each • Direct, oversee, and coordinate with the Manager, Underwriting to ensure appropriate underwriting procedures are applied • Provide recommendations on product and customer rates to senior management team for approval • Analyze claims detail data from multiple in-house claims processing systems and external claims data • Interact with clients/customers and internal staff to resolve issues related to information provided

🎯 Requirements

• ASA or FSA Required • Knowledge of underwriting principles in a managed care environment • Excellent written and communication skills • Ability to self-start and work independently • Good analytical, reasoning and problem solving skills • Strong organizational skills and must be able to adhere to strict deadlines • Willingness to learn new product lines and adapt to changing environment • Strong working knowledge Microsoft Office Product suite, specifically Excel • Experience with managing large data sets with tools such as MS Access • Actuarial pricing experience required

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Comprehensive benefits package