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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