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Chief Actuary

Hanover, MD, United States

Posted on
Sep 21, 2020

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u003Cdivu003Eu003Cpu003E**MEMBERS ONLY**SIGN UP NOW***. HealthCare (JHHC) is the managed care and health services business of **MEMBERS ONLY**SIGN UP NOW***. Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHC is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHC has become a leader in provideru002Dsponsored health plans and is poised for future growth. u003C/pu003Eu000Du000Du003Cpu003EMany organizations talk about transforming the future of healthcare, **MEMBERS ONLY**SIGN UP NOW***. HealthCare is actually doing it. We develop innovative, analyticsu002Ddriven health programs in collaboration with provider partners to drive improved quality and better health outcomes for the members and communities we serve. If you are interested in improving how healthcare is delivered, join the JHHC team. u003C/pu003E u003Cpu003EThis position is responsible for the establishment of financially sound and adequate premium rates at JHHC and for the evaluation of claimu003Cbru003Eu000Dliabilities and reserves to ensure payment for future benefits. The Chief Actuary also oversees all pricing activities including rate factors,u003Cbru003Eu000Dformulas and claim statistics for both communityu002Drated and experienceu002Drated insured customers. This position will also provide forecasting ofu003Cbru003Eu000Dpremium and claim expenses in support of forecasting, business planning and product development. This position will oversee the Healthu003Cbru003Eu000DInformatics team that is responsible for the development and reporting companywide for all lines of business and corporate initiatives /u003Cbru003Eu000Dprograms as well as supporting provider contracting services. This position will work in close coordination with the Sr. VP Finance / CFO,u003Cbru003Eu000Doperations and information systems and with the senior management team in Finance to achieve corporate goals and complete priorityu003Cbru003Eu000Dprojects.u003Cbru003Eu000Du003Cbru003Eu000Du003Cstrongu003EREQUIREMENTS:u003C/strongu003Eu003C/pu003Eu000Du000Du003Cpu003Eu003Cbru003Eu000Du003Cuu003EEducationu003C/uu003E: Bachelor’s degree in mathematics, statistics or economics or related field. Master’s degreeu003Cbru003Eu000Dpreferred.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EKnowledgeu003C/uu003E: Strategic orientation in actuarial and in the balance of pricing versus sales.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003ESkillsu003C/uu003E: Technical Skills: SQL coding, Microsoft Office Suite: Access, Excel, Word, and PowerPoint.u003Cbru003Eu000DMust demonstrate excellent oral, written, and presentation skills to effectively communicateu003Cbru003Eu000Dvaluation and pricing strategy and corresponding operating procedures to all levels within theu003Cbru003Eu000Dcompany.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003ERequired Licensure,u003Cbru003Eu000DCertification, Etc.:u003C/uu003Eu003C/pu003Eu000Du000Du003Cpu003EAssociate of the Society of Actuaries (ASA) and Member of the American Academy ofu003Cbru003Eu000DActuaries (MAAA) designations required.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EWork Experience: u003C/uu003Eu003C/pu003Eu000Du000Du003Cpu003ESeven plus years in a health plan/consulting actuarial environment.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EMachines, Tools, Equipment: u003C/uu003Eu003C/pu003Eu000Du000Du003Cpu003EMust operate general office equipment (telephone, fax, PC, etc.)u003C/pu003Eu000Du000Du003Cpu003Eu003Cstrongu003EDIMENSIONS:u003C/strongu003Eu003C/pu003Eu000Du000Du003Cpu003EBudget Responsibility: Requires thorough knowledge of actuarial and risk management processes and a completeu003Cbru003Eu000Dunderstanding of the factors, especially risk factors that influence health insuranceu003Cbru003Eu000Doperation profitabilityu003C/pu003Eu000Du000Du003Cpu003Eu003Cstrongu003EAuthority/Decision Makingu003C/strongu003Eu003Cbru003Eu000D u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003ELevelu003C/uu003Eu003Cstrongu003E:u003C/strongu003Eu003Cbru003Eu000DRequires ability to process complex time sensitive data and information from multipleu003Cbru003Eu000Dsources, make decisions based on this data, and to effectively communicate the relatedu003Cbru003Eu000Drequired actions to a broad audience. Proven track record of change management.u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003ESupervisory Responsibilityu003C/uu003E:u003C/pu003Eu000Du000Du003Cpu003EManages staff and has responsibility for hiring, firing, and performance management andu003Cbru003Eu000Dresults of the assigned areas. Trains staff in project management and respectiveu003Cbru003Eu000Dcompetenciesu003Cbru003Eu000D u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EPROBLEM SOLVINGu003C/uu003E:u003C/pu003Eu000Du000Du003Cpu003EUses research, inquiry, analysis and creative thinking to evaluate, create and analyze data,u003Cbru003Eu000Dbusiness plans, and other financial models as are requested by executive decision makers.u003Cbru003Eu000D u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EINFORMATION MANAGEMENTu003C/uu003E:u003C/pu003Eu000Du000Du003Cpu003EUses a variety of information as is required by the particular project. A project may call foru003Cbru003Eu000Dthe use of financial data from the hospital, School of Medicine, other affiliates, and/oru003Cbru003Eu000Doutside companies. A project may also require research of outside journals, books, andu003Cbru003Eu000Dother documentations (e.g., Internet searches).u003C/pu003Eu000Du000Du003Cpu003Eu003Cuu003EWORKING CONDITIONSu003C/uu003E:u003C/pu003Eu000Du000Du003Cpu003EWorks in normal office environment where there are no physical discomforts due to dust,u003Cbru003Eu000Ddirt, noise and the like. Work involves daily use of a computer and requires attention tou003Cbru003Eu000Ddetail for long periods of time. Travel to offu002Dsite meetings and to other onu002Dsite departmentsu003Cbru003Eu000Dis required as needed.u003C/pu003Eu000Du000Du003C/divu003E,

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