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Director, Actuarial Services

MedicaMinnetonka, Minnesota, United States1d ago
HybridHealth OtherReserving & ValuationRegulatory ReportingBusiness Intelligence & Reporting

Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on reserving and financial reporting. You will own consolidated reserving models, monthly claims projections, and actuarial opinions for a nonprofit health plan. The role is based near Minnetonka, MN or Madison, WI and requires leadership of actuarial staff and cross-functional work with Network and Finance.

JOB DESCRIPTION SUMMARY

  • Lead reserving for a nonprofit health plan, including IBNR and variance analysis
  • Own monthly fee-for-service claims projections and variance reporting
  • Prepare actuarial opinions and support financial audits
  • Manage and mentor actuarial staff and sign actuarial communications
  • Hybrid office role — ~3 days per week in Minnetonka, MN or Madison, WI

DOMAIN EXPERTISE

  • IBNR development and reserving methodologies
  • Monthly fee-for-service claims projections
  • Variance analysis and reserve adequacy assessments
  • Statutory reporting and actuarial opinions support
  • Provider settlement estimates and reporting

KEY REQUIREMENTS

  • 10+ years of relevant experience with 5+ years of leadership
  • Fellowship in the Society of Actuaries (FSA) required
  • Proven expertise in reserving, IBNR development, and variance analysis
  • Experience supporting statutory reporting, actuarial opinions, and audits
  • Eligible to work in the US without visa sponsorship

TECH STACK

  • No tech stack specified