Role Summary

HIGHLIGHTS

Senior health actuarial role supporting pricing, reserving, and predictive modeling for health plan and PBM-related financial risks. You will evaluate provider networks, risk adjustment, exchanges, and PBM contracts while building models and partnering with business leaders in Des Moines, IA (hybrid).

JOB DESCRIPTION SUMMARY

Support pricing, reserving, and predictive modeling for health plan and PBM risks
Evaluate risk adjustment, provider networks, exchanges, and PBM financial guarantees
Develop predictive models and turn data into actionable insights
Hybrid role with preference for Central Iowa and monthly travel to Des Moines HQ
ASA required with 4+ years in health insurance actuarial roles

DOMAIN EXPERTISE

Health insurance actuarial experience
Pricing experience
Reserving experience
Predictive modeling experience
Data analysis with Excel/SAS/SQL

KEY REQUIREMENTS

Minimum 4 years of actuarial experience in health insurance
Associate of the Society of Actuaries (ASA) required
Expertise in two or more: pricing, reserving, or predictive modeling
Proficiency with data analysis using Excel, SAS or SQL
Ability to manage projects independently and present to non-technical audiences

TECH STACK

Excel
PowerPoint
Power_BI

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Support pricing, reserving, and predictive modeling for health plan and PBM risks
Evaluate risk adjustment, provider networks, exchanges, and PBM financial guarantees
Develop predictive models and turn data into actionable insights
Hybrid role with preference for Central Iowa and monthly travel to Des Moines HQ
ASA required with 4+ years in health insurance actuarial roles