• US Citizen

• Green Card

• EAD (OPT/CPT/GC/H4)

• H1B Work Permit

• Corp-Corp

• Consulting/Contract

• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 26th Aug 2022

 Direct and drive the Segment Management Process and partner with leaders across Actuarial, Marketing, Sales, Underwriting, and HCM&T to review and identify emerging business insights around member-level P&L data and to collaboratively develop solutions to enhance the Pricing of our products.

2. Analyze risks, establish contingency plans, and identify trigger events and responsibility for initiating mitigating action for current Actuarial processes.

3. Build a robust, systemic process to help the business better understand and take action on key metrics (e.g. u/w margin, premium, competitor actions).

4. Generate useful insights to assist the CBU and Actuarial in managing the business.

5. Oversee current Actuarial processes within the Actuarial department. Help enhance processes where applicable and ensure Actuarial’s business partners understand our processes/operations.

6. Responsible for the development and ongoing monitoring of operational reporting for the Executive Intelligence System (EIS) Dashboard.

7. Own the development, production, and continued enhancement of Actuarial’s Monthly Operating Report and partners across the enterprise to report, track, and challenge Actuarial business metrics in order to meet our P&L objectives.

8. Help oversee Product Governance working with Data Governance, Analytics, IT, and Product Development. Report any updates/issues to the Actuarial Department.

9. Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff.

Education/Experience

• Requires a bachelor's degree from an accredited college or university, preferably in the finance, accounting, business administration, actuarial, or related field.

• Master’s degree a plus

• Requires a minimum of eight (8) years of experience in the managed health care industry.

• Requires a minimum of six (6) years of analytical/financial experience.

• At least 3 years of prior Project Management experience required, preferably in healthcare

• Requires a successful track record in leading cross-functional teams in large, multifaceted initiatives across an organization.

• Requires experience with action plan development and monitoring.

• Requires health insurance industry, including product and insurance, terminology as well as health plan operations.

Knowledge

Knowledge of data processing concepts and related applications including, but not limited to Microsoft Access, SAS, and SQL is preferred but not required.

Skills and Abilities

• Requires excellent management, organizational, and leadership skills.

• Requires excellent oral and written communication skills.

• Requires excellent problem-solving and analytical skills.

• Requires excellent presentation skills.

• Requires excellent delegation and project management skills.

• Requires the ability to work in a production-focused environment.

• Requires management experience with a focus on customer service, goal setting, and coaching