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Job Summary

This role will lead a Medicare Advantage Part C pricing and forecasting team. This position is responsible for directing the work of a team of actuaries, long term projects and work streams or for providing insight and guidance to long term projects and work streams that require unique skills; setting or participating in setting the strategy for success in the area; and developing compelling written and oral presentations that drive the delivery of information for high-level decision making. Must also possess and demonstrate an expert level understanding of actuarial concepts, multiple actuarial areas and at least one business segment.

Responsibilities include:

* Ensures that the appropriate modeling is being done and that the team continues to develop technically. Develops and drives the strategy for the most appropriate tools, technology, and resources for the team to use.
* Complies with, monitors their staff for compliance with, and ensures that their areas have appropriate monitoring in place for all applicable compliance requirements and Actuarial Standards of Practice.
* Communicates effectively across the company and with external parties. Ensures that the appropriate information is making its way to all levels of the organization. Has ability to recommend a course of action based on 360 view of the business and develop compelling written and oral presentations that clearly drive the delivery of information for high-level decision making.
* Determines strategies to develop and improve key relationships in the areas and with external areas. Determines all areas where key relationships should exist.
* Understands actuarial concepts, multiple actuarial areas and at least one business segment all at expert level.
* Directs the work of a team of actuaries and possibly non-actuaries. Manages long term projects and work streams. Sets the strategy for success in the area.
* Manages and develops a team of Managers and potentially some analysts. Supports, guides and prepares managers for difficult conversations with staff.
* Drives and demonstrates a continuous improvement culture in the department.

Required Job Qualifications:

* Bachelor’s Degree in Actuarial Science, Mathematics, Statistics or Economics. Other Bachelor (or higher) Degrees may be considered.
* Fellow of the Society of Actuaries (FSA) and Membership in the American Academy of Actuaries (MAAA). In place of attainment of FSA, 4 years of actuarial experience in the health insurance field at the ASA level may be substituted. Compliance with all the membership requirements for each professional designation.
* At least 7 years of actuarial experience in the health insurance or related field.
* Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations.
* PC proficiency to include Word and Excel.

Preferred Job Qualifications:

*Access, SQL, Visual Basic or other programming skills

*Medicare Advantage pricing experience

*Medicare Advantage Risk adjustment experience

*Proponent of continuous improvement model

This opportunity is a flex position and will work in one of our HQ buildings 3 days per week.

We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.