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Intermountain Health · 3 days ago

Pricing Actuary

Murray, UT

Full-time

Onsite

Senior Level, Lead/Staff

$58.62/hr - $90.48/hr

8+ years exp

Intermountain Health is committed to providing flexible work options and is seeking a Pricing Actuary to contribute to the organization's financial soundness. The role involves applying actuarial and underwriting principles to the design and financial management of health care benefit programs and financing systems, along with overseeing product design, compliance certifications, and claims analysis.

Health Care

Responsibilities

Provides direction and oversight of product design and rating structures for new and existing products and all associated internal / external systems and state filing requirements

Coordinates and develops all required rate and compliance certifications, and ensures a cooperative and effective relationship with Insurance Departments of State governments

Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components

Analyzes and develops financial statement reserves and other liabilities including IBNR, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc

Provides input and support for internal and external audits and reporting

Provides direction and oversight of development and maintenance of analysis, forecasting, and reporting of budget projection inputs, both in aggregate and various components

Analyzes, develops and maintains administrative expense models

Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures. Models and services utilization information

Coordinates and develops Retiree Drug Subsidy data reporting and submissions

Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools

Qualification

Fellow of the Society of ActuariesActuarial experienceFinancial statement analysisAnalytical skillsCommunication skillsSupervisory experience

Required

Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified

Current Fellow of the Society of Actuaries (FSA)

Member of American Academy of Actuaries or Society of Actuaries

Eight years of relevant actuarial experience, including benefit design, financing systems and valuation

Preferred

Excellent analytical skills

Experience working with sales and insurance brokerage consultants

Strong verbal and written communication skills

Supervisory/managerial experience

Benefits

Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.