Senior Lead Actuary

Position Lead Actuary / Senior Lead Actuary

Location- Austin TX

Mode- Hybrid

Position Summary:
We are seeking a Lead Actuary to join our team located in Austin Texas. You will report to the CFO and will be responsible for supporting company strategy and managing actuarial expertise and tools in coordination with others to deliver key membership and financial results. You should have expertise and proven success in various actuarial methodologies applicable to self-funding level-funding employer stop-loss and fully insured products. You will interact directly and partner routinely with Product Underwriting and Finance as well as work in conjunction with third parties including: MGU TPA consultant actuaries and network partners.

You Will Benefit from This Experience By

• Launching new Health Insurance products in the Texas market
• Playing a key role in building out our data analytics capabilities to help meet our business units initiatives
• Gaining experience developing strategies for growth and profitability
• Being part of a forward-thinking mission and values driven Health Insurance carrier
• Working in a continuous performance feedback environment that will challenge you while allowing you to challenge others

This hybrid position is based in Austin TX. Preference will be given to Texas based candidates but we are open to interviewing out-of-state candidates. Occasional travel within and outside Texas may be required based on the needs of the business. Periodic travel to company headquarters is expected.

Essential Job Functions In this role you will be responsible for:

• Monitoring
  • Claims trends and investigating aberrations
  • On-going analysis and monitoring of utilization trends
  • Analyzing data and communicating results in data visualizations dashboards and reports for a wide variety of audiences
• FP&A and Budgeting:
  • Support Health Plan budgeting forecasting and strategic planning activities in partnership with the Enterprise
  • Strategy and Corporate FP&A teams
  • Analyze customer data to provide insights on overall performance define targets for KPIs and track progress against targets
• Pricing and Actuarial Oversight:
  • Oversee pricing of multiple commercial health products.
  • Seek out external resources to help understand macro drivers of trend.
  • Direct the development of actuarial models analyses and projections to support product pricing rate filings network contracting including innovative value-based reimbursement strategies and cost management
• Strategic Leadership:
  • Develop and implement the organizations actuarial strategy aligned with business objectives and regulatory requirements.
  • Provide expert guidance to the executive team and board of directors on actuarial matters including pricing risk management and financial planning
• Risk Management:
  • Oversee the assessment and mitigation of financial and operational risks related to health insurance products and services.
  • Provide actuarial insights to support enterprise risk management and business resilience initiatives
• Regulatory Compliance:
  • Ensure compliance with all relevant regulations including rate filings solvency standards and actuarial certifications
  • Serve as a liaison with regulatory bodies and represent the organization during audits and reviews
• Leadership & Management
  • Strong experience in team management project oversight and mentoring junior staff
  • Promote diversity equity and inclusion within the team and across the organization fostering a culture of innovation collaboration and professional growth

To Be Successful In This Role You Must Have

• A bachelors degree or any equivalent combination of education training and experience.
• At least 8 years of actuarial experience in a healthcare setting or any equivalent combination of education training and experience.
• Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA) preferred
• Exceptional ability to communicate (oral written presentation) complex actuarial concepts and engage with various stakeholders including health plan partners other leaders and board of directors
• Strong skills in collaborative working environment
• Self-starter with an innate desire to learn and the ability to thrive in a dynamic fast-paced start-up environment with competing priorities and deadlines with the strong backing of an established company
• Experience leading negotiations for multi-million-dollar contracts
• Must be proficient in Microsoft Office: Outlook Word Excel PowerPoint
• Experience with Tableau statistical analysis and predictive modeling in healthcare contexts
• Strong analytical quantitative problem-solving and business skills to extract implicit unstated and unrecognized requirements