Job Description:
Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions.Job Essentials
1. Provides direction and oversight of product design and rating structures for new and existing products and all associated internal / external systems and state filing requirements.
2. Coordinates and develops all required rate and compliance certifications.
3. Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components.
3. Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc.
4. Provides input and support for internal and external audits and reporting.
5. Provides direction and oversight of development and maintenance of analysis, forecasting, and reporting of budget projection inputs, both in aggregate and various components.
6. Analyzes, develops, and maintains administrative expense models.
7. Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models and service utilization information.
8. Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
9. Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools.
10. Mentors staff and provides expertise on difficult situations and problems.
Minimum Qualifications
Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution. Education is verified.
ASA and eight years of relevant actuarial experience or FSA and five years of relevant actuarial experience.
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Intermediate skills with word processing, spreadsheets, databases, and analytic software (e.g. SQL, SAS, etc.).
Preferred Qualifications
Knowledge of health insurance products.
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Understanding of underlying theory and effects of assumptions used in product development and maintenance.
Physical Requirements:
SH only
Manual dexterity, seeing, hearing, speaking.
Location:
SelectHealth - Murray
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$48.89 - $76.95
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.