Medica · 4 hours ago
Actuary IV
Madison, WI
Full-time
Hybrid
Senior Level
$100K/yr - $150K/yr
7+ years expMedica is a nonprofit health plan serving communities in multiple states. The Actuary IV role involves conducting advanced actuarial analysis and modeling to support pricing strategies and risk management, while also providing analytical support for financial planning and collaborating with cross-functional teams.
Health CareMedical
No H1B
Responsibilities
Conduct advanced actuarial analysis, valuations, cost estimates, and forecasting using statistical programming tools and complex datasets
Develop, maintain, and enhance actuarial models to support pricing strategies, financial projections, risk assessments, and trend identification
Evaluate historical experience to determine key drivers of performance and produce credible, data‑driven forecasts
Perform advanced rate‑level pricing functions and support the development of premium recommendations across products or programs
Prepare and interpret monitoring reports that assess pricing adequacy, utilization patterns, and cost trends
Provide analytical support for financial planning, budgeting, and other strategic initiatives
Serve as a subject matter expert to peers and cross‑functional partners, offering guidance on actuarial methods, modeling techniques, and best practices
Lead components of complex projects with autonomy, including providing direction to junior staff to achieve unit and department goals
Develop and recommend enhanced approaches, methodologies, or tools to improve accuracy, efficiency, or process reliability
Translate complex actuarial findings into clear, actionable insights for business partners, including Finance, Product, Network, and Executive teams
Present analytic conclusions and recommendations to leadership, influencing decisions related to pricing, risk mitigation, and product strategy
Collaborate with stakeholders to ensure alignment on assumptions, methodologies, and financial implications
Ensure all actuarial work complies with applicable regulatory requirements, Actuarial Standards of Practice (ASOPs), and internal governance expectations
Maintain thorough documentation of assumptions, methods, and outcomes for audit readiness and organizational transparency
Uphold high standards of accuracy and professional integrity to minimize risk exposure and ensure credible outcomes
Qualification
Required
Bachelor's degree or equivalent experience in related field
7 years of work experience beyond degree
FSA Achieved OR demonstrated performance over multiple years under the supervision of a qualified actuary
Advanced proficiency in actuarial science, including modeling, forecasting, pricing, and statistical analysis
Strong working knowledge of actuarial software and data tools (e.g., Excel, SQL, SAS, R, Python) and ability to work with large, complex datasets
Demonstrated ability to design and refine actuarial models with minimal supervision
Ability to independently diagnose analytical issues, validate assumptions, and identify meaningful trends in data
Skill in developing innovative, data‑driven solutions to address emerging business needs
Strong judgment in selecting appropriate techniques and methodologies
Ability to translate complex concepts into clear, concise messages tailored to non‑technical stakeholders
Effective presenter with experience communicating findings to leadership, project teams, and cross‑functional partners
Strong interpersonal skills and ability to influence outcomes through credible, evidence‑based recommendations
Demonstrated ability to mentor, coach, and develop less experienced analysts
Skilled at leading components of complex projects with autonomy and accountability
Collaborative approach with the ability to build strong relationships across departments
Benefits
Competitive medical
Dental
Vision
PTO
Holidays
Paid volunteer time off
401K contributions
Caregiver services
Company
Medica
Medica is a company that provides health coverage to meet customers needs for health plan.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
John Naylor
President and CEO
Jeni Alm
Vice President, Provider Partnerships and Solutions
Recent News
Insurance News in the United States
2025-12-13
Star Tribune
2025-11-24
2025-11-18
Company data provided by crunchbase