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HealthPartners · 2 weeks ago

Actuarial and Underwriting Director

Bloomington, MN

Full-time

Onsite

Director/Executive

10+ years exp

HealthPartners is a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations. The Actuarial and Underwriting Director is responsible for managing the Actuarial & Underwriting team, overseeing data extraction methods, and ensuring compliance with Actuarial Standards of Practice.

MedicalPharmaceutical

Responsibilities

Managing the design and development of methods for extracting data for actuarial reporting and analysis, underwriting applications, and regulatory reporting

Operations of the Actuarial & Underwriting team including self-insured billing, discount analysis and UDS support, legal data requests, and overseeing the production and analysis of standard and customized reports and data for employer groups

Reinsurance - requires an in-depth understanding of the organizations’ data and systems along with in depth knowledge of the business of health care insurance (both government programs and commercial). Hire, train, and coach a staff of programmers and data analysts with a high level of technical skills

(30%) – Team leadership, management and development of human capital

(30%) – Project management of major team deliverables. This includes standard cadence deliverables as well as support for major implementations of data assets, technology and process changes. Data assets supporting Actuarial and Underwriting processes must be built in compliance with related Actuarial Standards of Practice

(20%) – Decision making regarding insurance risk situations such as stop loss management and billing, data and reporting releases to brokers and client groups, etc

(20%) – Collaborate closely with Data Ops, Informatics, Sales & Account Management, Operations Areas, Legal, Compliance, etc

Qualification

Actuarial scienceReinsuranceData analysisHealthcare insuranceData operationsData scienceProgramming skillsMicrosoft applicationsAnalytical skillsManagement experienceMaster's degreeAIAdvanced data modelingHealth plan experienceCommunication skillsOrganizational skillsInterpersonal skillsPresentation skillsDetail oriented

Required

Bachelor's degree in Business Administration, Mathematics, Statistics, Management Information Systems, Computer Science or related field

Ten years' managed care experience with direct experience in employer reporting, reinsurance, informatics, statistics or related experience

Eight years' previous management experience

Prior experience in the development and implementation of complete data sets and interpretation methods to produce actionable information

Thorough knowledge of current healthcare business, insurance risk management, software technology, database, query languages, and end-user software

Excellent analytical and problem-solving skills

Excellent oral and written communication skills

Excellent organizational skills and detail oriented

Strong computer skills and programming skills including Microsoft or related applications (Word/Excel) and programming experience

Excellent interpersonal skills

Excellent presentation skills

Preferred

Experience with data operations and data science

Relevant health plan or health insurance experience. Experience with actuarial science and/or health underwriting

Master's degree in Business or experience in Actuarial Science, Accounting, Statistics, Information Technology or related field

Experience in MS Azure/Cloud data source

Advanced data modeling and AI

Benefits

Benefits Designed To Support Your Total Health

Comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities.

Company

HealthPartners

Glassdoor3.9

HealthPartners, an integrated health care organization providing health care services and health plan financing and administration, was founded in 1957 as a cooperative.

Founded in 2011

Bloomington, Minnesota, USA

10001+ employees