Actuarial Services Director jobs in Michigan

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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Director Actuarial & Healthcare Analytics (Hybrid or Remote) - Health Alliance Plan
  • Health Alliance Plan - Henry Ford Health - Careers Careers
  • Troy, MI FULL_TIME
  • Health Alliance Plan (HAP) is seeking a dynamic leader as the Director, Actuarial and Healthcare Analytics. As the Director, you will play a crucial role in shaping and overseeing HAP's Medicare financials analysis, medical expense budgeting, and coordination with consulting actuaries. This is a true leader who will own Medicare strategy, lead an exceptional team, and drive profitability and growth. This is an exceptional opportunity to leverage your expertise to make a significant impact on our organization's financial success and strategic direction.

    Responsibilities:

    • Financial Analysis and Modeling: Lead the development and enhancement of revenue and claim estimates, encompassing critical components such as risk scores and adjustments, trend analysis, drug rebates, reinsurance recoveries, and reserves. Utilize advanced modeling techniques to provide accurate and insightful financial projections.
    • Team Development: Build and mentor a high-performing team capable of managing the bid process, valuation, financial analysis, forecasting, and monitoring of results. Foster a collaborative and growth-oriented environment, empowering team members to excel in their roles and contribute to overall organizational success.
    • Medicare Advantage Plan Development: Develop a proficient team to manage all technical functions required in MAPD bid filing, including but not limited to CMS desk review, CMS bid audit, and compliance. Ensure adherence to regulatory guidelines and drive excellence in the bid filing process.
    • Strategic Direction: Collaborate with senior leadership to define and execute the strategic direction of the Actuarial department. Provide valuable insights and recommendations based on data analysis and actuarial expertise, contributing to the achievement of HAP's long-term goals.
    • Actuarial Consultation and Collaboration: Coordinate and collaborate with consulting actuaries for rate filings, year-end certifications, and bids. Leverage their expertise while actively participating in the development and refinement of actuarial methodologies and practices.

    EDUCATION/EXPERIENCE REQUIRED:

    • Bachelor's degree in a finance or quantitative discipline is required.
    • Experience: Minimum of five (5) years of experience in Medicare Advantage and Drug plan bid filing or Commercial or Medicaid pricing and product development, utilizing actuarially sound methodologies. Demonstrated expertise in financial analysis and modeling, with a focus on healthcare analytics.
    • Leadership: Proven track record of at least five (5) years of managerial experience, preferably leading and directing other leaders. Ability to inspire and motivate a diverse team, fostering a culture of continuous learning and professional growth.
    • Technical Proficiency: Advanced proficiency in Excel, especially in model development. Strong analytical skills and attention to detail, with the ability to interpret complex data and communicate findings effectively.

    CERTIFICATIONS/LICENSURES REQUIRED:

    • Associate of the Society of Actuaries (ASA) required.
    • Fellow of the Society of Actuaries (FSA) preferred.

     

    Join our passionate and dedicated team at Health Alliance Plan and contribute to our mission of providing exceptional healthcare services to our members. We offer a competitive salary, comprehensive benefits package, and the opportunity to work in a collaborative and supportive environment. 

    Additional Information
  • 12 Days Ago

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Director of Nursing Services
  • Altercare Integrated Health Services
  • Big Rapids, MI FULL_TIME
  • Altercare Big Rapids Director of Nursing Services | DNS | $7500 sign on bonus Are you looking to join an exciting team? Then we’ve got a great career opportunity for you! Altercare Integrated Health S...
  • 21 Days Ago

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Director of Clinical Services
  • Oakland Heath Services
  • West Bloomfield, MI FULL_TIME
  • Position Summary: The Director of Clinical Services is a licensed clinician (Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), Licensed Master-Level Social Worker (LMSW), or...
  • 22 Days Ago

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Director of Social Services
  • Trilogy Health Services
  • Muskegon, MI FULL_TIME
  • What You Can Expect:Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Serv...
  • 24 Days Ago

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Assistant Director of Food Services
  • Trilogy Health Services
  • Battle Creek, MI FULL_TIME
  • What You Can Expect:Are you an experienced Chef who inspires others, has a passion for serving others and a knowledge of food service, and is dedicated to excellence in customer service? If so, we wou...
  • 3 Days Ago

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Actuarial Associate
  • AAA Life Insurance Company
  • Livonia, MI FULL_TIME
  • Overview By joining AAA Life, you will have the opportunity to strengthen the name and reputation of the brand that millions have come to rely upon for financial piece of mind. We are company dedicate...
  • 23 Days Ago

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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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Actuarial Pricing and Product Design Director
  • Connect Search, LLC
  • Chicago, IL
  • Responsibilities: Lead the actuarial pricing and product design strategies to ensure competitiveness and profitability o...
  • 3/28/2024 12:00:00 AM

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Director of Actuarial Reserving
  • JCW
  • JCW is currently working on behalf of a growing specialty insurance looking for a Director of Actuarial Reserving for th...
  • 3/28/2024 12:00:00 AM

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Director-OPEB- Health-REMOTE
  • Gallagher
  • Rolling Meadows, IL
  • About Us: Buck, a Gallagher company, opens doors to a world of boundless opportunity and innovation. As part of our inte...
  • 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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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

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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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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...
  • 3/24/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Actuarial Services Director jobs
$263,888 to $358,321

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