The Actuary Director will lead all Actuarial and Medical Economic Activities for Community Health Choice. The role will provide medical trend analysis and projections, as well as opine on risk adjustment, and IBNR. The Actuary Director will oversee rate development for Marketplace and other products as necessary and may in the future lead any additional underwriting activities. In addition, they will lead and manage relationships with actuary firms or related vendors.
Responsibilities will include risk evaluation and management in support of strategies for profitable enrollment growth. The expectations involve use of actuarial principles to ensure our pricing; underwriting, statistics, reserving, and forecasting consider all implications of our rates, utilization, contract terms, member mix, and operations to provide Community with comfortable view of our financial standing.
Bachelor's degree in Actuarial Science, Mathematics, Statistics or Economics.
ASA Certification. FSA, MAAA preferred.
Seven years of actuarial work in a health insurance or health care consulting, or similar setting.
Mandatory product experience includes: ACA pricing, familiarity with Medicare, Medicaid, and Commercial business.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.