Anthem, Inc. Actuarial Director (Medicare Pricing) in Mason, Ohio
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Actuarial Director (Medicare Pricing)
Preferred Locations: Atlanta, GA; Indianapolis, IN; Richmond, VA; Virginia Beach, VA; Louisville, KY; St. Louis, MO; Waukesha, WI; Mason, OH
Will consider other locations for the most qualified applicant
The Actuarial Director will be a part of the Group Retiree Solutions (GRS) actuarial pricing team. This is an individual contributor role; the actuary will be expected to provide strategic input in accelerating GRS growth, develop competitive pricing quotes and long term projections, and provide insights into key assumptions, such as medical and pharmacy claims trends and risk adjustment. In this role, the GRS director will be a trusted advisor for the GRS actuarial manager, will assist in supervising the actuarial analysts on the team, and be back up as the key point of contact for internal business leaders across various departments and external clients and consultants.
Primary duties may include, but are not limited to:
Prepares and interprets data and related formulae.
Monitors trend of profit and profitability by line of business and/or product.
Serves on major, multi-function projects as Actuarial representative.
Organizes and directs the staffing and work flow of the section.
Requires a BS/BA degree; FSA from the Society of Actuaries (SOA), and at least 6 years of related experience; or, ASA from the Society of Actuaries (SOA), and at least 9 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Risk adjustment and trend analysis experience preferred.
The ideal candidate is expected to have:
Strong analytical skills.
Ability to work well with team members and collaborate on various projects.
Ability to develop relationships within/outside of the Department.
Medicare experience as senior pricing actuary in a healthcare or consulting organization
Outstanding verbal/written communications, presentation, problem solving and interpersonal skills.
Ability to work in a fast paced environment, multitasking, working independently.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For® , is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.