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Actuarial and Underwriting Director

HealthPartners

Actuarial and Underwriting Director

Bloomington, United States7mo ago
Commercial Employer HealthStop Loss

Role Summary

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HIGHLIGHTS

Director-level health actuarial and underwriting role at a regional health plan in Bloomington, MN. You will lead the Actuarial & Underwriting teams to build data assets, oversee employer and self-insured billing, support reinsurance and reporting, and manage major data/technology implementations. Requires senior management experience in managed care and strong technical/data fluency.

JOB DESCRIPTION SUMMARY

  • Lead Actuarial & Underwriting teams responsible for data, underwriting support, and billing
  • Oversee design and development of data extraction methods for actuarial and regulatory reporting
  • Manage stop-loss/self-insured billing, discount analysis, and reinsurance-related work
  • Drive major data asset, technology and process implementations in compliance with ASOPs
  • Director role requiring ~10 years managed care experience and 8 years management experience

DOMAIN EXPERTISE

  • managed care experience
  • employer reporting and UDS support
  • reinsurance and stop-loss management
  • informatics / data operations

KEY REQUIREMENTS

  • 10+ years managed care experience
  • 8+ years of prior management experience
  • Bachelor's degree in related field required
  • Experience with employer reporting, reinsurance, informatics or statistics
  • Strong computer/programming skills and familiarity with data systems

TECH STACK

  • Excel
  • PowerPoint