Community Health Plan of Washington · 2 months ago
Senior Healthcare Actuary
Seattle, Washington, United States
Full-time
Hybrid
Senior Level, Lead/Staff
$63.64/hr - $106.28/hr
8+ years expCommunity Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. The Senior Healthcare Actuary will be responsible for developing and monitoring risk and rating assumptions while providing management with analyses, reporting, and recommendations on product performance.
Health Care
Responsibilities
Responsible for interpreting state and federal requirements related to product design, rate development, and premium stabilization programs
Completes actuarial modeling including development of lag triangles, completion factors, trends and reserve requirements
Manages federal actuarial filings
Manages state actuarial pricing submissions and review of proposed rating assumptions
Designs and builds complex data models
Performs quantitative analysis of actuarial, financial, utilization and cost data
Responsible for reviewing work of outside actuarial consultants to ensure accuracy and compliance with state and federal requirements
Manage projects from inception to completion
Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion
Qualification
Required
Have a Bachelors degree in Actuarial Science, Statistics or Mathematics
Have a current Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential
Have a minimum of eight (8) years working as Healthcare Actuary preferably at or on behalf of a health plan in managed Medicaid and/or Medicare Advantage and/or Individual & Family lines of business
Have experience in all aspects of health care actuarial practice including pricing, reserving, and forecasting
Have a current driver's license, an acceptable driving record, and proof of automobile insurance for travel on behalf of CHPW
Complete and successfully pass a criminal background check
Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
Vaccination requirement (CHPW offers a process for medical or religious exemptions)
Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation
Preferred
Knowledge of recent healthcare related legislation
Project management skills
Data analysis skills, including skilled in analysis of large data sets
Skilled in using Microsoft Office programs. Including Microsoft Excel spreadsheets and database applications
Communication skills including oral presentations and written reports
Ability to develop strong working relationships with state, federal, and consulting actuaries
Ability to prepare health plan statistical, financial, budgetary, and other specialty reports
Benefits
Medical, Prescription, Dental, and Vision
Telehealth app
Flexible Spending Accounts, Health Savings Accounts
Basic Life AD&D, Short and Long-Term Disability
Voluntary Life, Critical Care, and Long-Term Care Insurance
401(k) Retirement and generous employer match
Employee Assistance Program and Mental Fitness app
Financial Coaching, Identity Theft Protection
Time off including PTO accrual starting at 17 days per year.
40 hours Community Service volunteer time
10 standard holidays, 2 floating holidays
Compassion time off, jury duty
Company
Community Health Plan of Washington
For over 30 years, Community Health Plan of Washington (CHPW) has been providing quality health care to Washington families and supporting your choices for health care.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Leanne Berge
Chief Executive Officer
Stacy Kessel, CPA
Chief Financial Officer
Recent News
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