Actuarial Services Director jobs in Massachusetts

Actuarial Services Director directs the activities of an organization's actuarial function. Develops mathematical analyses and financial principles to solve insurance problems. Being an Actuarial Services Director calculates premiums, designs insurance plans, creates probability charts and may aid in the calculation of necessary funds to ensure future payments of benefits. Advises management in the determination of major rating assumptions. Additionally, Actuarial Services Director requires a bachelor's degree. Typically reports to top management. May require ASA or FSA designation. The Actuarial Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be an Actuarial Services Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Manager of Actuarial Services
  • WellSense Health Plan
  • Boston, MA FULL_TIME
  • It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

    The Actuarial Manager is a key member of the Finance / Actuarial Services team. As a team leader and a Subject Matter Expert, the Actuarial Manager leads or oversees actuarial functions for pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Actuarial Manager collaborates with Finance teams or other departments in the organization to oversee and assure a coordinated approach to the actuarial components of health programs and provides actuarial expertise to protect the organization's financial integrity.

    Our Investment in You:

    • Full-time remote work
    • Competitive salaries
    • Excellent benefits

    Key Functions/Responsibilities:

    • Leads the rate development process by providing analyses and recommendations on benefit design, rating factors, trend picks, and projection of future claim cost.
    • Oversees regulatory rate filings and prepares data or response for additional inquiries.
    • Leads the development of monthly IBNR reserve estimates for different line of business.
    • Oversees monthly accruals and contract settlements for different line of business.
    • Leads financial budget, reforecast and other financial projections.
    • Evaluates and makes recommendations regarding the adequacy of capitation rates from state Medicaid programs or other new program.
    • Coordinates with various departments and cross-functional teams to capture, value, and scorecard medical cost savings initiatives.
    • Leads risk adjustment analyses and risk score simulations.
    • Leads trend development, trend drivers' study, and/or provider contract analytics.
    • Maintains financial relationships with vendors and providers. Represents Finance in negotiations of financial terms to support network contracting strategy or outsourcing strategy.
    • Develops analytic reports for internal needs and/or regulatory requirements.
    • Initiates and leads efforts to improve quality and efficiency of actuarial models, analyses and reports.
    • Summarizes findings and makes recommendations.
    • Develops presentations and communicates to senior management or external parties.
    • Leads response to internal and external audits.
    • Serves as actuarial representative or SME for corporate initiatives/projects.
    • Advises Finance department on data warehouse designs, requests and works with IT to implement or improve business processes.
    • Drives organizational talent by retaining and developing colleagues and/or actuarial students.

    Qualifications:

    Education:

    • Bachelor's Degree in Mathematics, Actuarial Science, Finance, Economics or related fields.

    Experience:

    • More than 5 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis.

    Preferred/Desirable:

    • A background in managed healthcare, insurance operations.
    • 2 years of prior experience managing a small team of analysts.
    • Master's degree.
    • ASA or FSA

    Competencies, Skills, and Attributes:

    • Proficient in Excel, SQL, and SAS or other statistical software.
    • Strong interpersonal skills to lead and direct the efforts of others, both internally and externally.
    • Strong analysis skills. Must be able to conceptualize and envision the impact of change, and propose new ways to do business.
    • Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus.
    • Strong communications skills, both verbal and written.

    About WellSense

    WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.


    Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify Program to electronically verify the employment eligibility of newly hired employees.

     

  • 5 Days Ago

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Senior Global Development Scientist Director
  • 10001087 - Director Clinical Research
  • Boston, MA FULL_TIME
  • Job Title: Senior Global Development Scientist DirectorLocations: In Office in one of these locations - Boston Seaport, Warsaw PO, Barcelona SP or Mississauga CAAs a Senior Global Development Scientis...
  • 5 Days Ago

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Global Development Medical Director - Diabetes/Obesity/MASH
  • 50056669 - Assoc Director Physician
  • Boston, MA FULL_TIME
  • At AstraZeneca, we put patients first and strive to meet their unmet needs worldwide. Working here means being entrepreneurial, thinking big and working together to make the impossible a reality! If y...
  • 22 Days Ago

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Director of Health Services
  • THE GUILD FOR HUMAN SERVICES
  • Concord, MA FULL_TIME
  • The Guild utilizes the collaborative efforts of leading professionals, best-practice approaches, tailored curricula and unmatched care to treat the individuals we serve. Mission: The mission of The Gu...
  • 20 Days Ago

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Director of Social Services
  • Marquis Health Consulting Services
  • Methuen, MA FULL_TIME
  • Director of Social Services! Salary based off experience and licensure. Salary Range: $70,000-$90,000 * Must have Licensend Clinical Social Worker licensure* Cedar View Rehabilitation and Healthcare C...
  • 22 Days Ago

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Food Services Director
  • Marquis Health Consulting Services
  • Chicopee, MA FULL_TIME
  • Join the team at our skilled nursing facility as a Food Services Director! Managing the budget for the food services department, implementing menu and food preparation, managing a team of dynamic staf...
  • 24 Days Ago

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P&C Actuarial Director - PR12713
  • Pryor Associates Executive Search
  • Chicago, IL
  • P&C Actuarial Director opening in NY, IL, MA, MN, or PA. Provide analytic services to P&C insurance companies, including...
  • 3/29/2024 12:00:00 AM

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Associate Director, Casualty Actuary, Credit/Trade Finance
  • JCW
  • Chicago, IL
  • Please closely read the job requirements. No exceptions will be made for candidates who do not meet the minimum qualific...
  • 3/29/2024 12:00:00 AM

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Director of Actuarial Services
  • Selby Jennings
  • Director of Actuarial Services My client is a rapidly growing healthcare startup focused on revolutionizing the delivery...
  • 3/29/2024 12:00:00 AM

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Director of Partnership Distribution Analytics
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • The mission of the Director of Partnership Distribution Analytics position is to provide insightful analysis, analytics,...
  • 3/29/2024 12:00:00 AM

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Actuarial Director - P&C Reserving
  • Selby Jennings
  • Houston, TX
  • Actuarial Director - P&C Reserving Job Description: As the Actuarial Reserving Director, you will play a pivotal role in...
  • 3/28/2024 12:00:00 AM

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Remote Actuary Services Director (Medicare)
  • ClientSolv Technologies
  • Englewood, CO
  • Company Description ClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000...
  • 3/27/2024 12:00:00 AM

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Associate Actuary, Trad Life and LDTI (Remote)
  • Careerbuilder
  • Chesterfield, MO
  • 52 open jobs. Use your resume to get matched with the right job. Upload your resume Associate Actuary, Trad Life and LDT...
  • 3/26/2024 12:00:00 AM

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Actuarial Analyst (Hybrid Insurance role)
  • PA Compensation Rating Bureau.
  • Philadelphia, PA
  • Job Description Job Description Job Summary: The Actuarial Analyst works under direction of either an Actuarial Director...
  • 3/26/2024 12:00:00 AM

Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River. Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Actuarial Services Director jobs
$289,569 to $393,192

Actuarial Services Director in Racine, WI
Ensures that the Actuarial Department provides excellent services to various internal and external clients in the areas of pricing, reserving, forecasting, benefits and product development, provider relations/contracting, underwriting, and compliance.
January 23, 2020
Actuarial Services Director in Huntington, NY
If your organization includes a captive agency, actuarial services are a vital piece of your effectiveness and long-term viability.
December 19, 2019
Actuarial Services Director in Lancaster, PA
Join this team and you will provide clients with traditional actuarial services (e.g., reserving, pricing and mergers and acquisition support), as well as leading edge services such as financial reporting and measurement, financial risk management, modelling, hedging, reinsurance, securitization, economic capital and solvency.
December 20, 2019