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Director, Actuarial Services

MedicaMinnetonka, Minnesota, United States3w ago
HybridCommercial Employer HealthStop LossACA ExchangeExperience StudiesPricing & RatingRegulatory Reporting

Role Summary

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HIGHLIGHTS

Director-level health actuarial role at a nonprofit health plan. Owns actuarial pricing, experience studies, forecasting, and rate filings for commercial health products. Leads and reviews actuarial work, partners with segment leadership on product design and financial targets. Onsite hybrid role based in Minnetonka, MN or Madison, WI.

JOB DESCRIPTION SUMMARY

  • Director of Actuarial Services for a nonprofit health plan (Minnetonka, MN or Madison, WI)
  • Own pricing, experience studies, forecasting, and rate filings for commercial health products
  • Lead and review analysts and consultants; sign rate filing certifications
  • Partner with segment leadership on product design, risk adjustment, and financial targets
  • Office role—onsite about 3 days per week (hybrid)

DOMAIN EXPERTISE

  • Health actuarial experience
  • Rate and premium setting experience
  • Experience with ACA and related regulation

KEY REQUIREMENTS

  • 10+ years of experience and 5+ years of leadership experience
  • Fellowship in the Society of Actuaries (FSA) and MAAA membership required
  • Experience with health actuarial work (commercial health, ACA and rate setting)
  • Legally authorized to work in the United States; no visa sponsorship

TECH STACK

  • No tech stack specified