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Job Details

Lead Actuarial Analyst

Company name
Hawaii Medical Service Association

Location
Honolulu, HI

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Profile

Lead Actuarial Analyst

Exempt or Non-Exempt:

Exempt

Island:

Oahu

City:

Honolulu

Location:

Honolulu

Employment Type:

Full Time

Job Summary:

The Lead Actuarial Analyst contributes towards HMSA’s financial stability by providing leadership, expertise and support for the company’s various actuarial functions, as assigned. These might include trend analysis and projections, pricing, reserving, financial forecasting or financial reporting.

Duties and Responsibilities:

For assigned line(s) of business, the Lead Actuarial Analyst will:

Lead the pricing and rating of HMSA’s products, including the following:

collecting and analyzing historical experience data, developing projections and modeling financial outcomes under various rating scenarios;

regularly updating the rating methodology and factors for HMSA’s commercial group and individual lines of business, including drafting the associated rate filings;

supporting the development of annual Medicare bid submissions and group retiree pricing;

configuring and testing rate tables and factors in HMSA’s systems;

creating and maintaining benefit differentials for alternative plan designs, pricing of new products/plans/benefits and modifications to existing plans/benefits.

Lead complex trend analysis and projections, including:

monitoring emerging experience on a monthly basis, reconciling this against other sources and comparing against budget/forecast;

analyzing significant utilization, unit cost and other trend drivers, as well as variances against budget/forecast;

based on emerging trends, known/projected provider contract and other key drivers, lead the development of trend forecasts to be used for financial projection and rating purposes.

Lead the calculation of monthly, quarterly and year-end actuarial and related items, including unpaid claims reserves (IBNR) and ACA-related assets and liabilities. Other financial reporting duties, as assigned.

Produce ad-hoc financial & statistical analyses, studies or forecasts, as needed.

Lead the creation of revenue and expense projections at the line of business level. Monitor emerging experience against these projections and produce variance analyses on a regular basis.

Minimum Qualifications:

Bachelor’s degree in actuarial science, mathematics, statistics, or related field with four (4) years of related work experience or equivalent combination of education, training, and work experience.

Passed 3 actuarial exams and at least one VEE

Working knowledge of actuarial and underwriting concepts

Effective written and verbal communication skills

Strong mathematical, analytical and problem-solving skills

Proficient working knowledge of PC applications (including Microsoft office products)

EEO/AA/Disability/Vets Employer

Company info

Hawaii Medical Service Association
Website : http://www.hmsa.com

Company Profile
HMSA, an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s population have chosen HMSA for their health care coverage.

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