The Manager Actuarial Services – Trend is responsible for managing actuarial analysis, modeling, and deliverables related to Medical Trend across all Healthfirst lines of business, as outlined in the scope of responsibilities.
Scope of Responsibilities:
Build and maintain models for analyzing historical medical trend which normalize for impacts of seasonality, fee schedules, benefits, population changes, etc.Monitor and interpret drivers of medical trend separating unit cost, utilization, mix, severity, etc.Track and assess industry trend resources, where applicable.Partner with other teams to align on emerging trends and insights.Develop projection trend assumptions/factors, including model and method development, to support other actuarial functions such as reserving, forecasting, and pricing.Participate in monthly close meetings, Quarterly Business Reviews, and Annual Budget on topics related to explaining medical trend experience, drivers, assumptions, and projections.Manage and direct staff as appropriate.Required Qualifications:
Bachelor’s degree in actuarial science, Math, Economics, Finance or any related degreeExperience in the actuarial field related to Medical TrendExperience working with medical claims codes and datasetsExperience with programming/coding, preferably SAS, SQL, or PythonAbility to collect, analyze and summarize qualitative/quantitative dataPreferred Qualifications:
ASA (Associate, Society of Actuaries) membershipMAAA (Member, American Academy of Actuaries) membershipPrior work experience managing one or more staffHiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.