VP, Actuarial Services

United States

Job Description

This role will provide actuarial direction and leadership in support of profitable business growth for a strategic business unit. The position leads the actuarial function and partners within Finance and business unit leadership teams to provide actuarial analysis and guidance while being accountable for all actuarial deliverables. The role will ensure that Magellan is accurately represented in all rate negotiations with state and/or federal agencies.
  • Leads the actuarial function supporting one or more strategic business units.
  • Maintains actuarial policies and standards, ensuring they are consistent with regulatory and corporate standards.
  • Ensures actuarial valuations comply with all relevant regulatory, accounting and professional standards and requirements.
  • Leads the completion of rate adequacy analysis and risk adjustment evaluation, including medical cost forecasts and incorporating administrative cost projections. 
  • Leads the regular preparation of adequate medical cost reserve development and interpretation of emerging care expense results for local and corporate leadership.
  • Innovates and improves both accuracy and efficiency in the processes.
  • Accountable for establishing and maintaining processes for medical care expense and premium rate accruals in conjunction with Finance partners.
  • Leads the actuarial component of the business unit’s planning processes.
  • Provides coaching, performance feedback and development opportunities for actuarial team members

General Job Information

Title

VP, Actuarial Services

Grade

33

Job Family

Finance Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

7/12/2019

Date Requisition Created

7/12/2019

Work Experience

Actuarial, Healthcare, Management/Leadership

Education

Bachelors: Actuarial Science (Required), Bachelors: Mathematics (Required)

License and Certifications - Required

ASA-Associate of Society of Actuaries - Enterprise

License and Certifications - Preferred

FSA - Fellow of the Society of Actuaries - Enterprise

Other Job Requirements

Responsibilities

  • Experience working in Managed Medicaid and/or Medicare plan preferred.
  • Associate of the Society of Actuaries (ASA) designation required with 12 + years experience.
  • May consider 8+ years of experience with a Fellow of the Society of Actuaries (FSA) designation.
  • 5+ years of management experience or demonstrated leadership and influence skills.
  • Experience working in comprehensive managed health care plan environment required.
  • Experience with claims reserving techniques and premium rate development.
  • Familiarity with typical development of and uses of health plan risk adjustment methodologies.
  • Ability to develop, maintain and/or oversee use of complex cost modeling tools.
  • Strong communication and negotiating skills.
  • Ability to effectively manage multiple activities with high degree of independence.
  • Ability to work collaboratively with cross-functional local health plan leadership team.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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