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Job Details

Manager Health Actuary

Company name
Apple & Associates, Inc.

Salary
140,000 - $240,000

Location
New York City, NY
3 hit(s)  

Profile

Job ID

2574944

Health Actuary Consulting Manager and Sr. Manager

Nationwide locations

Responsibilities:

•Lead a team creating a model to value the impact of health care reform on an health plan client

•Design leading edge medical and pharmacy products to attract healthy members to a health plan

•Price medical, pharmacy, dental, and vision benefits

•Assist clients to define underwriting policies to reduce selection

•Assess an organization’s gaps and identify opportunities for improvements based on market leading practices

•Develop / identify cost savings opportunities for state Medicaid programs

•Lead the development of Medicaid rates for various populations including women and children, long term care, and developmentally disabled

•Create a strategy to capitalize on health care reform changes

•Prepare and present client presentations and reports to executive leadership

•Manage project budgets and financials

•Conduct other Senior Manager level health actuarial consulting activities, as required

•Advise client executives on value based, accountable care strategy

•Develop add on or new sale business

Required:

•Bachelor’s degree

•8+ years of health actuary experience

•ASA designation

•Experience managing staff and leading medium to large sized teams

•Up to 80% travel required

Preferred:

•8+ years of consulting and/or health plan/insurance company experience

•FSA designation

•Experience with Health Plans, Group Insurance (LTC, disability, etc.) Companies, Federal Agencies, State Medicaid Agencies, PBMs, and/or Provider organizations. Including: ?Compliance and Filing

?Pricing

?Product development

?Sales

•Strong understanding of health care reform and the implications on health plans including 3 Rs

•Executive, board room presence; comfortable speaking with every level

•Ability to develop business and manage large multi-threaded projects/teams

•Industry eminence

•Well-organized with the ability to handle several projects/clients simultaneously

•Well-developed oral and written communication skills

•Ability to travel up to 80% for periods of time

•The following locations are HIGHLY preferred: Minneapolis, Chicago, New York City, Milwaukee, San Francisco and Los Angeles

Primary Location US-NYC

Other Locations US-TX-Houston, US-CT-Hartford, US-TX-Dallas, US-CO-Denver, US-GA-Atlanta, US-WI-Milwaukee, US-NJ-Parsippany, US-IL-Chicago, US-NY-New York, US-CA-San Francisco, US-MI-Detroit, US-MA-Boston, US-PA-Pittsburgh, US-CA-Los Angeles, US-PA-Philadelphia

Company Profile
At Apple & Associates, we understand that relationships are what make us stand apart. Whether you are a client or a candidate, you are an extension of the Apple & Associates’ family. Many of our recruiters have been with the company since its earliest days. They take great pride in the relationships they build; always emphasizing high standards, ethics and quality service. Our President, Debi Apple started her recruiting career in Aiken, South Carolina. She quickly became a top producer and leading authority in recruiting for the medical device, pharmaceutical and consumer product industries. Her passion and drive led her to open Apple & Associates in 1993. Under her leadership, Apple & Associates has grown to be one of the leading recruiting firms in these industries. Our company is proud to represent two of the largest medical device and pharmaceutical companies in the U.S., Covidien (formerly known as Tyco Healthcare) and our first and longtime client, Becton Dickinson. Now headquartered in Chapin, South Carolina, Apple & Associates has offices from coast to coast, offering regional recruiting expertise throughout the U.S. and Latin America. Our searches and permanent placements represent all levels, from CEO to staff level positions.

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