Company Statement

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions.  WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.

 

To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
 

Director, Actuarial Services

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Director and Equivalent
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EmblemHealth
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Summary of Position

  • Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.
  • Lead projects to analyze current rate structures and develop improvements and alternatives.
  • Coordinate the actuarial staff as needed to support the activities of the affiliates.

Principal Accountabilities:

  • Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.
  • Work collaboratively with all areas of the organization to identify opportunities to improve product performance.
  • Oversee development and filing of premium rates for all products with the appropriate regulatory authority (e.g.,CMS, New York Dep’t of Health).
  • Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase EmblemHealth’s premium revenue for these segments.
  • Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff.
  • Regular attendance is an essential function of the job.
  • Perform other duties as assigned or required.

Requirements:

  • Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
  • Associate of the Society of Actuaries (ASA) required
  • Member of the American Academy of Actuaries (M.A.A.A.) preferred
  • Fellow of the Society of Actuaries (F.S.A.) preferred
  • 10+ years of relevant, professional work experience and/or education required
  • 8+ years of actuarial experience with ASA; or 7 + years’ experience with an FSA required
  • 3+ year of management experience, preferably in the managed care industry required
  • Prior management experience required
  • Comprehensive understanding of actuarial principles and methodologies with strong mathematical and analytical skills required
  • Excellent written and oral communication skills to deliver complex information and achieve positive results required
  • Capable with Excel, data extraction, simulations, automation required
  • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook) required
  • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred
  • Knowledge of reimbursement methodologies required

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

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