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Posted: Tuesday, February 6, 2018 8:11 PM

Company:Hawaii Medical Service Assn.Job Title:Director, Actuarial ServicesExempt or Non-Exempt:ExemptIsland:OahuCity:HonoluluLocation:HonoluluEmployment Type:Full TimeJob Summary:The Director, Actuarial Services ensures HMSA s financial stability by using sound actuarial principles and judgment. The Director is responsible for the oversight and management of all HMSA s actuarial functions, including trend analysis and projections, pricing, reserving, financial forecasting and financial reporting. He/she also oversees the development and submission of HMSA s required annual actuarial filings, including commercial rate filings and Medicare bid submissions. The Director mentors and leads the actuarial staff who are responsible for carrying out these functions.Duties and Responsibilities:
+ Oversee the pricing of HMSA s products for all lines of business, including the following:
+ Pricing of new products/plans/benefits and modifications to existing plans/benefits;
+ Regularly updating the rating methodology and factors for HMSA s non-ACA commercial group lines of business, including drafting and submitting the associated rate filings;
+ Creating and certifying annual ACA individual and small group rate filings;
+ Annually updating grandfathered individual rates and submitting the associated rate filing; and
+ Collaborating with HMSA s actuarial consultant to develop annual Medicare bid submissions and group retiree pricing.
+ Partner with account management and underwriting staff on new and renewal rating discussions. Provide input regarding underwriting guidelines and procedures. Support the implementation and maintenance of HMSA s commercial group rating engine.
+ Oversee monthly, quarterly and year-end financial reporting of actuarial and related items, including reviewing the calculation of unpaid claims reserves and ACA-related assets and liabilities.
+ Create revenue and expense projections at the line of business level. Monitor emerging experience against these projections and produce variance analyses on a regular basis.
+ Manage staff in the Actuarial Unit, including:
+ Recruit, train and coach staff;
+ Develop and implement an actuarial study program to encourage formal actuarial education;
+ Ensure that all work is performed in compliance with the applicable Actuarial Standards of Practice and follows industry best practice;
+ Implement performance standards and monitor staff performance against the standards, providing regular feedback and coaching in a timely manner; and, implement performance improvement plans as necessary; and
+ Develop the unit business plan and budget and oversee accurate allocation of unit and departmental costs based on program reporting requirements.
+ Monitor emerging expense trends. Based on these and known/projected provider contract and other key drivers, oversee the development of trend forecasts to be used for financial projections and rating purposes.
Minimum Qualifications:
+ Bachelor s degree in actuarial science, mathematics, statistics, or related field and five (5) years of experience in an actuarial role in the health insurance industry, including a minimum of three years of pricing or underwriting experience.
+ Three (3) years prior management experience.
+ Demonstrated ability to work independently, managing multiple priorities simultaneously and under strict time constraints
+ Excellent analytical and problem-solving skills
+ Effective communication skills including negotiation, listening, oral and written communication skills, and the ability to explain technical concepts to a non-technical audience
+ Demonstrated ability to interact and operate with management and staff at all levels
+ Demonstrated ability to effectively manage and develop a team
+ Familiarity with health insurance regulations and compliance
+ Good working knowledge of Microsoft Office applications, including Word
+ Advanced MS Excel skills
+ Experience working with database or statistical software
+ Associate of the Society of Actuaries (ASA) and a Member of the American Academy of Actuaries (MAAA)
EEO/AA/Disability/Vets Employer
Associated topics: actuarial, actuarial director, analyst, assistant actuary, cost, director actuary, investment actuary, life actuary, retirement actuary, risk

Source: http://www.jobs2careers.com/click.php?id=4625439304.96


• Location: Honolulu (Oahu)

• Post ID: 9862392 honolulu
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