UCare

Actuarial Services Manager

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Oct 09, 2020
Closes
Dec 03, 2020
Ref
2125
Category
Healthcare
Employment Status
Full Time
Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

www.ucare.org/careers/

EOE/AA

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 11 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

ACTUARIAL SERVICES MANAGER

Position Description

This position is responsible to lead UCare's rate development for Medicare Advantage and/or individual ACA products. Develop recommendations for UCare's pricing strategies to product team and senior leadership. Actively participate in cross-functional product portfolio and strategic planning discussions for individual ACA and Medicare lines of business. Certify Medicare Advantage bids. Oversee maintenance and enhancements to existing processes for Commercial rate development. Support Medicare Advantage bid enhancement efforts.

• Manage staff and coordinate the analysis, preparation, and filing of products and premiums, including individual ACA products and Medicare Advantage (Part C). Ensure thorough process documentation is maintained to meet actuarial standards. Manage team to prepare data, projection factors, and required supporting information. Establish and maintain relationships with regulators as it relates to rate and benefit design review.

• Construct and apply actuarial models to solve business questions. Applications include pricing, projection assumption development and impact analysis

• Perform actuarial studies to monitor financial effect of various portfolio strategies.

• Maintain familiarity with risk adjustment payment models across Medicare and individual ACA lines of business. Understand each component of the revenue stream.

• Maintain familiarity with competitor product benefit packages and premium structure.

• Collaborate with internal and external stakeholders from a variety of backgrounds. Build/Strengthen relationships with stakeholders and understand how actions impact/influence others.

• Exhibit and foster excellent documentation standards.

• Serve as Health Care Economics representative on various ad-hoc work groups. Provide ad-hoc financial analysis as needed.

• Other projects and duties as assigned.

Education

B.S. in Actuarial Science, Statistics, or related field preferred; demonstrated programming/financial analysis experience may be considered in leiu of degree. ASA or FSA credentialed actuary.

Required Experience

Five years of health industry experience, including experience across multiple lines of business. Experience managing groups of actuaries and analysts.

Preferred Experience

Medicare Advantage bid certification experience. ACA plan filing and certifications. Medicaid experience.

THE UCARE DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

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