UCare

Principal Actuarial Analyst

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 15, 2021
Closes
Jan 26, 2021
Ref
2235
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.

PRINCIPAL ACTUARIAL ANALYST

Position Description

This position is responsible to provide actuarial analysis to support the pricing and analytics for Medicare Advantage products. Support UCare's Medicare Part C Bidding processes, assumption development, manual rate support/development and peer review for both UCare and partner plan suites of products. Evaluate growth opportunities and provide strategic recommendations for Medicare, Medicaid and Individual products. Review competitive landscape and develop appropriate benchmarks for comparison to UCare market and potential new business opportunities. Conduct financial analysis, including data reconciliation, pricing model updates/maintenance, and projection assumptions.

• Support the annual CMS Part C Bidding processes including manual rate selection, adjustment and development, Part C projection factor development, model validation and peer review. Maintain familiarity with Part C program and legislative changes. Collaborate closely with actuarial staff and other key stakeholders within the organization to produce a competitive product portfolio that aligns with strategic priorities.

• Support Individual ACA rate filing including base data collection, model maintenance and projection factor development. Collaborate with the Product team to model and evaluate strategic priorities.

• Review and summarize competitive landscape for Medicare and Individual products and use this knowledge to propose benefit design recommendations. Review publicly available data and develop appropriate benchmarks to evaluate UCare's performance across a myriad of measures.

• Research social determinants of health and their effect on UCare's Medicaid and Special Needs populations.

• Continue to grow and learn new programming skills that can be applied to provide ongoing financial analysis and support to management decision making, internal/external reporting, and ongoing financial/data support to internal customers

• Represent Health Care Economics on UCare cross-departmental projects as an active contributor and supporting resource.

• Maintain appropriate documentation for departmental processes.

• Ad hoc analysis and backup support as needed.

• Other projects and duties as assigned.

Education

B.S. in Computer Science, Actuarial Science, Statistics, or related field strongly preferred; demonstrated programming/financial analysis experience may be considered in lieu of degree.

Required Experience

Five years of health industry experience. Intermediate to advanced skills using Excel and SQL. Medicare Part C bidding experience. At least four completed SOA exams.

Preferred Experience

Demonstrated ability to independently address open-ended business questions and produce tangible results.

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.

JOB POST DATE: 1/14/2021

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