Executive Director, Actuary - San Antonio Texas

Company: Cameron Craig Group
Location: San Antonio, Texas
Posted On: 01/22/2025

Location San Antonio, TX Hybrid **Executive Director, Actuary - TEXAS** **POSITION SUMMARY/RESPONSIBILITIES**This position is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of health plan lines of business. Monitors claims trends and investigates aberrations, tracks member risk scores to support risk adjustment analysis, and on-going analysis and monitoring of utilization trends. Assist in actuarial filings such as the Statement of Actuarial Opinion, ACA Marketplace rate filing and the annual Medicare bid. Coordinate between external consultants and internal staff on annual Medicare Advantage rate filings and assess the Texas Health & Human Services Commission's (HHSC) development of the annual Medicaid rates. Support the annual budget process and reviews work papers of other Finance staff as needed. Provide ad hoc reporting assistance to executive level management as needed. **EDUCATION/EXPERIENCE**Bachelor's degree in Actuarial Science, Mathematics, or Finance. A minimum of five (5) years of experience in the Actuarial Industry is required. A minimum of five (5) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or MA business, rate negotiations, design, state and federal reporting requirements, as well as other traditional actuarial functions. Minimum of five (3) years of management experience is preferred. Managed care and state/federal government program experience preferred. Experience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred. Proficiency to Expert knowledge in Excel and computer coding (SQL/SAS) experience is required. Strong analytical skills and experience with medical claims trends, reserving, forecasting, and pricing. Ability to communicate complex analytical results effectively. Ability to provide guidance and support to entry level analyst staff. Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA) preferred. Executive Director, Actuary Apply Type Direct Hire Salary $150,000 - $200,000 / yr ID IN112-2740335 Posted Jan 14, 2025 Apply Unless noted above, applicants MUST be authorized to work in the US without Visa Sponsorship. US citizens and Green Card holders ONLY. We do not provide relocation assistance for those living outside the continental US. Please only click apply if you meet the specific requirements of the job listing, you are able to work in the location listed, and are comfortable with the salary range indicated above. Thanks for your interest. We look forward to working with you. **Search by Location**
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