Manager Actuarial Services, Geisinger Health Plan (Eastern United States resident)

• Calculates claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions.
• Manages the pricing of products, including but not limited to, building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing.
• Guides the forecasting, analytic, underwriting, and performance monitoring functions.
• This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks.
• Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation.
• Supports strategic initiatives in the form of ideas, market research, financial modeling, business plan development, and implementation.
• Supports data management by providing direction and oversight to IT teams for appropriate data aggregation, partitioning, and extract rules to meet analytic and reporting needs.
• Collaborates with departments to ensure accurate and timely operations.
• Provides guidance and support to upcoming actuarial talent.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

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