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Director, Actuarial & Risk Management Services - Sharp Health Plan Finance - Hybrid - Day Shift - Full Time

Sharp Health Plan

Health/Insurer/Director Level

Director, Actuarial & Risk Management Services - Sharp Health Plan Finance - Hybrid - Day Shift - Full Time

Sharp Health Plan

San Diego, California, United States · Hybrid · 2d ago

Salary
$158k - $250k
Experience
8+ Years

Role Summary

Role type

Capital, risk and health-plan strategy leader

Closer to an enterprise risk and strategy role than a pure people-leadership position, because the remit spans financial performance, risk adjustment, pricing, regulation, and executive decisions.

Director-level Health actuarial and risk management role in San Diego, California, supporting commercial health plan and ACA business. You will lead pricing, underwriting, risk adjustment, forecasting, regulatory work, and strategic financial analysis while advising executives and managing actuarial, underwriting, and risk adjustment staff. The role is hybrid and pays $158,226-$250,099 annually.

Requirements

Must have

  • ASA (Associate of the Society of Actuaries) required
  • MAAA (Member of the American Academy of Actuaries) required

Strongly preferred

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics or related quantitative field
  • 8 years progressive health actuarial experience including pricing, forecasting, underwriting, risk adjustment, financial analytics
  • 5 years leadership or management experience with accountability for staff, cross-functional initiatives, and strategic decisions
  • 3 years experience supporting commercial health plan products, rate development, underwriting, pricing, and regulatory filings
  • 3 years experience preparing, reviewing, or overseeing actuarial analyses, financial forecasts, regulatory exhibits, actuarial models, or actuarial certifications

Nice to have

  • 3 years experience with ACA risk adjustment, CMS programs, provider risk arrangements, capitation, value-based payment, or delegated-risk operations
  • FSA (Fellow of the Society of Actuaries) preferred

Skills & Domain

ToolsExcel
DomainProgressive health actuarial experience including pricing, forecasting, underwriting, risk adjustmentCommercial health plan products, rate development, underwriting, pricing, and regulatory filingsACA risk adjustment, CMS programs, provider risk arrangements, capitation, value-based payment models

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