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Senior Financial Actuary

Mercyhealth Wisconsin and Illinois

Health/Insurer/Senior Manager Level

Senior Financial Actuary

Mercyhealth Wisconsin and Illinois

Janesville, Wisconsin, United States · Onsite · Yesterday

Salary
$135k - $216k
Experience
10+ Years

Role Summary

Role type

Reserving and financial reporting cycle

Closer to a reserving and reporting cycle role than a capital strategy role, with recurring close deadlines and financial estimates driving the work.

Senior Health financial actuarial role in Janesville, Wisconsin, focused on claim and premium reserving, financial reporting, forecasting, risk adjustment, and reinsurance. You will reconcile complex health insurance data, advise management on emerging financial risks, and lead actuarial work supporting year-end close. The role is onsite, 32 hours per week, and requires an FSA with at least 10 years of experience.

Requirements

Must have

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related quantitative field
  • Minimum 10 years of relevant actuarial experience, preferably in health insurance
  • Fellowship in the Society of Actuaries (FSA)
  • Experience working with medical and drug claims, premiums, membership, and related financial data
  • Demonstrated experience performing actuarial or financial analyses and reconciling data from multiple sources

Strongly preferred

  • Experience with health insurance financial reserving
  • Knowledge of statutory or GAAP financial reporting
  • Experience with ACA, Medicare Advantage, Medicaid, or other health insurance programs
  • Experience with risk adjustment, MLR, reinsurance and stop-loss
  • Experience with SQL, Python, R, Power BI, Power Query, VBA, Excel pivot tables or other analytical/data tools
  • Background supporting actuarial and financial audits
  • Advanced proficiency with Microsoft Excel and other analytical tools
  • Strong analytical, problem-solving, and critical-thinking skills
  • Ability to manage multiple priorities and meet recurring reporting deadlines
  • Acquaintance with Microsoft Access tables and queries

Skills & Domain

ToolsExcelPower_BIAccess
DomainHealth insurance financial reservingMedical and drug claims analysisReconciliation of actuarial to financial dataACA, Medicare Advantage, or Medicaid programs