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Role Summary

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HIGHLIGHTS

Senior health actuarial pricing role based in Honolulu, HI. You will lead pricing and rating for ACA Individual and Small Group, support Medicare bid submissions, and analyze capitation impacts for the QUEST program. The role focuses on trend forecasting, rate filing support, and configuring rate tables.

JOB DESCRIPTION SUMMARY

  • Lead pricing and rating for ACA Individual and Small Group lines
  • Support annual Medicare bid submissions and group retiree pricing
  • Perform capitation rate impact and encounter data analyses for QUEST
  • Develop trend forecasts and monthly emerging experience monitoring
  • Configure and test rate tables and filing documents in pricing systems

DOMAIN EXPERTISE

  • ACA Individual and Small Group pricing and rating
  • Medicare bid development and pricing soundness checks
  • Capitation rate impact analysis and encounter data review
  • Configuring and testing rate tables and rating factors

KEY REQUIREMENTS

  • Bachelor’s degree required
  • Passed three actuarial exams
  • 4+ years of relevant work experience
  • Advanced Microsoft Excel proficiency
  • Working knowledge of actuarial and underwriting concepts

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial pricing role based in Honolulu, HI. You will lead pricing and rating for ACA Individual and Small Group, support Medicare bid submissions, and analyze capitation impacts for the QUEST program. The role focuses on trend forecasting, rate filing support, and configuring rate tables.

JOB DESCRIPTION SUMMARY

  • Lead pricing and rating for ACA Individual and Small Group lines
  • Support annual Medicare bid submissions and group retiree pricing
  • Perform capitation rate impact and encounter data analyses for QUEST
  • Develop trend forecasts and monthly emerging experience monitoring
  • Configure and test rate tables and filing documents in pricing systems

DOMAIN EXPERTISE

  • ACA Individual and Small Group pricing and rating
  • Medicare bid development and pricing soundness checks
  • Capitation rate impact analysis and encounter data review
  • Configuring and testing rate tables and rating factors

KEY REQUIREMENTS

  • Bachelor’s degree required
  • Passed three actuarial exams
  • 4+ years of relevant work experience
  • Advanced Microsoft Excel proficiency
  • Working knowledge of actuarial and underwriting concepts

TECH STACK

  • Excel
  • PowerPoint

Lead Analyst, Pricing

Hawaii Medical Service Association

Health/Insurer/IC Level
Hawaii Medical Service Association

Lead Analyst, Pricing

Hawaii Medical Service Association
Honolulu, United States•4mo ago
Individual HealthCommercial Employer HealthMedicare AdvantageMedicaid

Job Overview

Salary
Salary not specified
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$110k - $137k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a senior health actuary with ~4+ years and three exams passed, experienced in ACA and Medicare pricing who excels at trend forecasting and advanced Excel analysis.

Benefits

Shortlist Forming
Closing Soon
146d
146 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$110k - $137k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a senior health actuary with ~4+ years and three exams passed, experienced in ACA and Medicare pricing who excels at trend forecasting and advanced Excel analysis.

Benefits

Shortlist Forming
Closing Soon
146d
146 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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