Actuarial Valuation and Reporting Director

The Director Actuary - Valuation and Reporting leads actuarial valuation financial reporting reserve analysis and related regulatory support for health plan products and lines of business. This role is accountable for the design execution review and communication of actuarial analyses that support statutory and management reporting financial planning rate and risk evaluation regulatory filings and executive decision making. The position provides actuarial leadership across complex valuation and reporting processes establishes appropriate controls and documentation ensures work is performed in accordance with applicable Actuarial Standards of Practice and develops a team of actuarial professionals through coaching prioritization technical direction and cross-functional partnership.

MINIMUM QUALIFICATIONS:

• Education Experience or Equivalent Combination:
  • Bachelors degree in Mathematics Statistics Actuarial Science Economics Finance Business or related field.
  • Fellow of the Society of Actuaries (FSA) with ten years of relevant health plan health insurance valuation financial reporting pricing reserving or actuarial leadership experience or Associate of the Society of Actuaries (ASA) with fifteen years of relevant experience.
• Licensure/ Registration/ Certification:
  • Member of the American Academy of Actuaries (MAAA)
• Knowledge Skills and Abilities:
  • Demonstrated experience leading complex actuarial valuation financial reporting reserve development trend pricing forecasting or regulatory filing processes.
  • Experience translating actuarial results into actionable financial and business insights for senior leaders finance partners product leaders compliance partners and other non-technical audiences.
  • Experience managing coaching or directing actuarial analysts or cross-functional teams
  • Advanced actuarial judgment and ability to apply Actuarial Standards of Practice to valuation reporting pricing reserving model development documentation and governance activities.
  • Excellent analytical modeling problem-solving and project management skills including the ability to manage multiple major deliverables with recurring reporting deadlines.
  • Strong written oral and executive presentation skills including the ability to simplify complex actuarial issues for non-technical audiences.
  • Strong computer and analytical tool skills including Microsoft Excel and relevant actuarial database statistical or reporting applications.
  • Ability to work independently use sound professional judgment identify emerging risks and provide leadership across divisions and departments.
  • Excellent interpersonal skills and ability to collaborate effectively with Finance Accounting Underwriting Government Programs Compliance Legal Informatics Data Operations Product Sales and Operations teams.

PREFERRED QUALIFICATIONS:

• Education Experience or Equivalent Combination:
  • Masters degree in Actuarial Science Finance Statistics Business Economics Health Policy Data Science or related field.
  • Experience with Medicare Medicaid Individual Small Group Large Group self-insured or other health insurance products.
  • Experience with statutory reporting financial statement support premium deficiency reserve analysis IBNR/reserve development risk adjustment reinsurance or provider reimbursement valuation.
• Licensure/ Registration/ Certification:
• Knowledge Skills and Abilities:
  • Experience leading process redesign automation reporting modernization model governance or data asset implementation supporting actuarial valuation and reporting.
  • Experience with advanced modeling techniques including the use of AI.
  • Working knowledge of health plan financial reporting regulatory filing expectations risk adjustment provider contracting government program economics and commercial product financial dynamics.
  • Programming or data experience using SAS SQL Python R Access Azure cloud data sources enterprise data platforms or similar tools.
  • Experience with advanced data modeling automation AI-enabled reporting workflows or analytics modernization.

ESSENTIAL DUTIES:

1. (30%) -Lead actuarial valuation and reporting processes including reserve development financial reporting support management reporting regulatory support and actuarial analyses that inform business decisions. Ensure timely accurate well-documented deliverables that align with applicable Actuarial Standards of Practice.
2. (20%) Design enhance and govern actuarial models assumptions controls reconciliations documentation and review processes used for valuation reporting pricing support trend analysis forecasting and risk evaluation.
3. (20%) Lead and develop actuarial staff. Set priorities allocate work provide technical review coach actuarial judgment support exam and professional development and build a high-performing team culture.
4. (15%) -Provide actuarial certification analysis and subject matter expertise for regulatory filings statutory and management reporting requests audits financial planning and other governance activities as appropriate.
5. (10%) Partner with Finance Accounting Underwriting Government Programs Compliance Legal Informatics Data Operations Product Sales and Operations to explain valuation results identify financial risks and opportunities and support enterprise initiatives.
6. (5%) - Perform other duties as assigned to accomplish departmental and organizational goals and objectives.

LEADERSHIP RESPONSIBILITY:

This role directs and coordinates valuation and reporting work within Actuarial & Underwriting. The role may directly manage actuaries actuarial analysts data analysts or project resources and coordinates work across Finance Accounting Government Programs Underwriting Compliance Legal Informatics Data Operations Product Sales and Operations. The position is accountable for technical direction staff development prioritization of recurring and ad hoc deliverables documentation standards process controls and leadership of major process reporting valuation and technology improvement efforts.