Manager, Strategic Decision Support, Actuarial

Position Summary/Position

The Manager of Strategic Decision Support is responsible for managing a team of actuarial analysts that provide actuarial and analytical modeling to executive leadership on enterprise-wide decisions and strategies.  The ideal candidate is technical, grounded in sound actuarial principles, big picture oriented, can think strategically, and is comfortable presenting complex financial information to executives. 

Major Functions (Duties and Responsibilities)

1. Proactively manage project-based work, help define project scope, identify ideal team to execute on work, define and manage timelines.
2. Perform provider contract re-pricing and provider network analytics to support network strategy.
3. Develop scenario models based on healthcare claims data and key clinical/actuarial/business assumptions to solve strategic business problems.
4. Conduct complex claims analyses utilizing IEHP EDW.
5. Navigate ambiguity; create an organized and structured approach to ambiguous projects.
6. Contribute to developing and shaping this new department.
7. Develop actionable recommendations to management relative to all analyses.
8. Perform actuarial research, experience studies and statistical analyses.
9. Perform ad hoc actuarial projects and other duties as assigned or requested.
10. Serve as a SME for these activities.
11. Provide training and guidance to other actuarial associates.

Supervisory Responsibilities

Experience Qualifications

Eight (8) years of actuarial experience with an ASA and health care experience. Two (2) years of managing experience is required. Actuarial experience in healthcare industry is required. 

Preferred Experience

Medicaid experience is preferred.  Medi-Cal experience is highly desired. Consulting experience is preferred.

Education Qualifications

Bachelor’s degree from an accredited institution required.

Preferred Education

Professional Certification

Associate of the Society of Actuaries (ASA) is required; Fellow of the Society of Actuaries (FSA) is preferred.

Professional Licenses

Drivers License Required

Knowledge Requirement

SQL Programming knowledge is preferred.

Skills Requirement

Excellent interpersonal and communication skills (both oral & written) and organization skills.

Abilities Requirement

Ability to work independently and take initiative. Ability to identify and resolve problems, think creatively, strategically, and analytically. Ability to apply extensive knowledge of actuarial methods and procedures. Extremely organized, sharp attention to detail, strong work ethic, expansive learner.

Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Physical Requirements