Company Statement
ConnectiCare is a leading health plan in the state of Connecticut. ConnectiCare’s mission is to make it easy for members to get the care they need. A local company for over 35 years, ConnectiCare has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible. A subsidiary of EmblemHealth, ConnectiCare leads the individual and small group markets in the state, and is ranked among the top commercial health plans in the nation, according to the National Committee for Quality Assurance.
We’re looking for individuals who want to make a difference in the communities we serve. If you want to join a local team and help change the way health care is delivered, ConnectiCare is the place for you.
Director, Actuarial Services (NHTest)
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
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
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.