Actuarial Services Manager - Jefferson Health Plan

Job Description: Estimate monthly IBNR and maintain & improve models and processes. Communicate results to management identifying any problem areas. Work closely with Utilization Management to identify and monitor potential large cases and estimate JHP's potential liability. Financial reporting support. Financial budgeting and forecasting. Unit cost and utilization trend development and analysis. Actual vs expected analytics with analysis of variance. Risk pool and risk sharing estimation & analysis. Maintain and enhance internal data systems thru SQL.Prepare and validate various routine and ad hoc analyses to support the business decision process. Design and build models to support such analyses. Employ various data mining techniques. Function as an internal Medicaid actuarial point of contact between external auditors & consultants, and internal actuarial management. Support all state and federal regulatory reporting and filing requirements including but not limited to the annual CHIP rate filing. Support the ACA and Medicare lines of business as needed. Produce and maintain documentation of all routine and periodic processes.

Education and Experience: Bachelor's Degree Actuarial Science, Mathematics, Statistics or other analytical field of study required 3 years Actuarial experience in Medicaid, health care data reporting and analysis requiredASA - Associate of the Society of Actuaries - Society of Actuaries Required

Knowledge, Skills and Abilities: Required Ability to independently perform reasonability checks on completed work and recognize where further analysis is needed to understand and explain results Strong problem-solving, quantitative and analytical skills. Ability to use computer spreadsheet (Excel, VBA), database (Access and others) at advanced level to design and build reports & models. Self-motivated and able to juggle multiple priorities.

Knowledge, Skills and Abilities: Preferred Familiarity with SQL is a strong plus. Work Shift

Workday Day (United States of America): Worker Sub Type RegularEmployee EntityHealth Partners Plans, Inc. Primary Location Address1101 Market, Philadelphia, Pennsylvania, United States of America Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.