Actuaries

**Company :**

HM Insurance Group

**Job Description :**

**JOB SUMMARY**

The Chief Actuary is responsible for the daily, weekly, monthly and annual actuarial functions associated with HM Insurance Group (HMIG). The Chief Actuary will lead the organization's product and pricing strategy, provide overall direction relative to the development, application and consistent administration of actuarial principles and statistical techniques, ensuring the ability to deliver financial results to the Enterprise.

**ESSENTIAL RESPONSIBILITIES**

+ Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

+ Provides overall direction relative to the review and evaluation of product pricing strategy and policies. Responsible for pricing on all products, including but not limited to building sound pricing models, working with internal staff to arrive at sound products and strategies, and working with the regulatory authorities to approve products/pricing.

+ Devises, collects, maintains, and reports financial and statistical information required to monitor cost and utilization trends for all lines of business and benefits in order to ensure accuracy of the factors used in current rating/financial arrangements.

+ Responsible for tracking and projecting trend rates for every line of business.This includes monthly tracking, finding causes, and providing guidance for executive leadership, pricing and budgeting processes.Acts as a liaison with insurance regulators, external auditors, and Board of Directors with regard to pricing, loss reserving or other actuarial matters.Represents HMIG in meetings with significant customers to maintain the company's redibility and gain their confidence.

+ Responsible for all work related to reserves, including but not limited to monthly derivation or required reserves, determining best methods for predicting required reserves, providing an Actuarial Statement of Opinion for the reserves, and working with auditors to arrive at mutually acceptable conclusions.

+ Ensure the calculation of the unpaid claims liability, the reporting of underwriting/financial results by line of business and product, and the reporting of contract inventory for the monthly financial statement.

+ Ensure a financial forecasting system which generates accurate projections relative to income, claims, administrative expenses, underwriting gains/losses, investment income, by line of business, with the ability to explain variances to executive management.

+ Work cross-functionally with Underwriting and Operations departments to ensure that business knowledge gathered from our customers and providers is incorporated into decision-making process.Acts as a visible leader impacting strategic initiatives in the form of ideas, market research, financial modeling, business plan development, and implementation.This can include non-traditional areas such as: partnership effectiveness, vendor effectiveness, etc.

+ Understanding of financial reinsurance structures and ability to manage business efficiently from a capital perspective.Including a knowledge of assumed and ceded accident and health reinsurance related to pricing and reserving implications.

+ Other duties as assigned or requested.

**EXPERIENCE**

**Required**

+ 10 years of experience in Management or leadership role

+ 10 years of experience in Industry experience in actuarial function

**Preferred**

+ 7 years of experience in Financial analysis and planning

+ 5 years of experience in Underwriting

**SKILLS**

+ Inspire others through vision and action

+ Shape and drive changes within and outside the department

+ Communicate with impact, clarity and authenticity at all levels of the business, internally and externally

+ Colaborate with other parts of the organiztion to achieve shared success

+ Influence others through relationship and partnership

+ Critical and strategic thinking, ability to see the big picture

**EDUCATION**

**Required**

+ Bachelor’s degree in Business Management, Finance, Actuarial Science, or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

**Preferred**

+ Masters degree in Business Management, Finance, Actuarial Science, or related field

**LICENSES or CERTIFICATIONS**

**Required**

+ FSA (Fellow of the Society of Actuaries)

**Preferred**

+ ASA (Associate of Society of Actuaries)

+ CPA (Certified Public Accountant)

**Language (Other than English):**

None

**Travel Requirement:**

0% - 25%

**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**

**Position Type**

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._

**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._

_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._

_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._

**Pay Range Minimum:**

$198,900.00

**Pay Range Maximum:**

$400,468.00

_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J254948

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Senior Pricing Analyst

**Job Description**

The Senior Pricing Analyst participates in the assessment of value generated by Prime’s programs and leverages this insight to contribute to the development of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic insight to internal and external stakeholders.

**Responsibilities**

+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of varying complexity within the pharmacy economic supply chain; utilize analytics to explore data, identify trends, and draw profitability, margin, and costs insights from multi-faceted and high dimensional financial pricing data

+ Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet client/pharmacy contractual obligations using analytic tools and complex financial pricing methodologies

+ Apply mathematical, statistical, and economic techniques to identify key drivers of costs and profitability in the pharmacy economic supply chain as they apply to financial pricing programs, and propose and implement changes to improve accuracy of financial pricing modeling

+ Act as a financial pricing subject matter expert by educating internal/external financial pricing stakeholders on financial pricing programs and interpretation of financial pricing data and reporting

+ Create, recommend, implement pharmacy financial pricing targets for use by Providers Relations teams and/or pharmacy/client guarantee management processes

+ Other duties as assigned

**Minimum Qualifications**

+ Bachelor’s degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

+ 5 years of work experience in pricing or financial analysis using large data sets and complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field

+ Must be eligible to work in the United States without the need for work visa or residency sponsorship

**Additional Qualifications**

+ Previous experience with data modeling, data analysis, and data management principles using SQL, SAS, Alteryx, R, Python or related technologies

+ Demonstrated ability to problem solve and interpret complex data

+ Ability to establish rapport and effectively influence at all levels within an organization

+ Excellent communication and cross functional collaboration skills

+ Ability to present complex data to a wide variety of audiences at all levels within and organization

**Preferred Qualifications**

+ Experience in Big Data and Data Analytics

+ Advanced user of one or more of the following: SQL, SAS, Alteryx, Teradata, R, or Python technologies

+ Advanced pricing and profitability modeling experience

**Minimum Physical Job Requirements**

+ Ability to work in a flexible schedule which may include weekends, holidays, or shifts outside of Prime’s core business hours of 9:00am-3:00pm

+ Constantly required to sit, use hands to handle or feel, talk and hear

+ Frequently required to reach with hands and arms

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

**Reporting Structure**

+ Reports to Manager, Director, or Senior Director in the Network Management or Pricing Planning & Analysis department

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law._

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Pricing Analyst Senior Principal

**Job Description**

The Senior Principal Pricing Analyst is responsible for the development and execution of analytical strategies which have significant impact on the enterprise. The position influences a team of skilled analysts with responsibility for researching, designing and developing new network analytic products and new network data sources for Prime and its customers to optimize outcomes and experience.

**Responsibilities**

+ Provide comprehensive and relevant program level analysis and reporting to Prime’s leadership through the oversight of the applied analytics function

+ Leverage extensive pharmacy benefit management (PBM) and healthcare industry expertise to provide strategic analytical consultative services to a variety of audiences (e.g., clients, technical teams, project team members, executives)

+ Drive transformation and process standardization, execution, and improvement for all analytic work products

+ Ensure the prioritization of strategic and department level initiatives; define performance goals and targets and assess outcomes

+ Communicate data findings, outcomes and strategies to cross-functional teams, Prime’s Senior Leadership Team (SLT) and executives, and Prime’s clients

+ Develop standardization and automation of new best practice processes, procedures, and templates

+ Create cost/benefit, return on investment (ROI) analysis and other financial reports and models to support the business, while offering critical evaluation on both strategic and financial impacts to Prime

+ Other duties as assigned

**Minimum Qualifications**

+ Bachelor’s degree in applied match, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

+ 10 years of work experience in analytics, pricing, quality improvement and/or business analysis, to include 5 years of experience in managed care or the pharmacy benefit management industry

+ 5 years of experience using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies

+ Must be eligible to work in the United States without need for work visa or residency sponsorship

**Additional Qualifications**

+ Ability to establish rapport and effectively influence at all levels within an organization

+ Ability to identify and implement consultative services opportunities

+ Expert ability to communicate effectively and present complex data to a wide variety of audiences

+ Expert influencing change and adoption of new analytic capabilities to support pricing financial analytics

+ Ability to manage multiple, complex project simultaneously without compromising quality

**Preferred Qualifications**

+ Master’s Degree in Business Administration, Finance, Health Care Administration, Statistics, Computer Science, Math or related area of study

+ Experience in software product management such as SaaS or PaaS engagement model

+ Experience with the design and development of new analytic products (full lifecycle experience from concept ideation to deployment)

**Minimum Ph** **ysical Job Requirements**

+ Ability to travel up to 10% of the time

+ Constantly required to sit, use hands to handle or feel, talk and hear

+ Frequently required to reach with hands and arms

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

**Reporting Structure**

+ Reports to Assistant Vice President in the Finance department

Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law._

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Sr. Financial/Pricing Analyst

Location:

Tempe, AZ, US

Date: Dec 12, 2024

**Requisition ID** : 18137

**Join us in building a better future for Arizona!**

SRP is one of the largest public power and water utilities in the U.S. providing electricity to approximately one million customers in the greater metropolitan Phoenix area. Since its founding in 1903, SRP has fostered a culture of stewardship and customer service consistently ranking as an industry leader in customer service according to J.D. Power and named one of Arizona's best employers by Forbes. SRP continues to adapt to its changing business environment by seeking innovative ways to reimagine utility service and the provision of critical resources essential to the life and economy of Arizona.

**Why Work at SRP**

At SRP, we foster an inclusive work environment and believe everyone should have a fair chance to work, regardless of who they are. That’s why we value teams with diverse perspectives, experiences, and backgrounds to help SRP deliver on its mission of providing reliable, affordable and sustainable water and power.

SRP's success is rooted in our employees' happiness, health, and safety. That's why we offer a comprehensive benefits package to meet the needs of our employees and enhance their well-being. In addition to competitive pay and performance incentives, eligible employees can take advantage of the following benefits:

+ Pension Plan (at no cost to the employee)

+ 401(k) plan with employer matching

+ Available your first day: Medical, vision, dental, and life insurance

+ Over 200+ hours of PTO (includes vacation days, holidays, floating holidays, and sick leave)

+ Parental leave (up to 4 weeks) and adoption assistance

+ Wellness programs (including access to a recreation and fitness facility)

+ Short and long-term disability plans

+ Tuition assistance for both undergraduate and graduate programs

+ 10 Employee Resource Groups for career development, community service, and networking

**Summary**

Corporate Pricing is responsible for designing electric rates that recover costs, meet financial performance requirements, respond to customer needs in

support of SRP's corporate objectives. In alignment with strategy and policy, this role will be involved in the development of pricing studies, programs and rate

designs that align with industry best practices and are supported by sound and accurate analysis.

**What You'll Do**

+ Prepare cost studies and develop rates, rate adjustments, rate policy, regulations, and other resources contracts.

+ Define problems, work with large data sets, apply advanced economic and mathematical concepts, establish facts, and draw valid conclusions.

+ Recommend solutions to new and complex problems, develop innovative strategies, quantify the competitive performance of the organization's operations

+ and/or markets, and evaluate the potential impact of changes.

+ Administer electric rate change proceedings and document rate alternative suggestions and management recommendations.

+ Provide qualitative and quantitative economic and financial analyses for corporate-wide use.

+ Represent Pricing and participate in company-wide cross-functional teams.

**What It Takes To Succeed**

+ Ability to manage multiple priorities and deadlines.

+ Ability to analyze and disseminate large amounts of data.

+ Skilled in Microsoft Office including Word, Excel, and Outlook as well as a demonstrated ability to utilize financial applications.

+ Demonstrated knowledge of financial/statistical modeling and pricing tools preferred, such as SAS, R, or Python.

+ Excellent oral and written communication and interpersonal skills.

Additional Information:

+ Experience with regulatory compliance, RTOs, transmission/OATT pricing, and/or energy markets a plus

**Experience**

**The ideal candidate will have 5+ years of experience.**

Promotion to Level 2 requires a minimum of two years of experience at Level 1 and demonstrated capability to perform advanced and more difficult work as determined by the supervisor.

Promotion to Senior Level requires a minimum of 3 years of experience at Level 2, is fully competent in all aspects of functional area of assignment and as such would be recognized as a specialist in area of assignment and may have periodic or occasional lead responsibilities.

**Education**

Completion of a Bachelor's Degree from an accredited institution that prepares the employee for the assignment.

**Hybrid Workplace**

SRP currently offers a hybrid workplace, which allows employees whose jobs can be performed remotely, and who have sufficient technical capability, to telework up to three days per week. Although teleworking is available, all employees must live and work in Arizona. We are taking steps to protect the health and well-being of all team members, and by following a number of health and safety protocols, to reduce the risk of the coronavirus (COVID-19).

**Drug/Alcohol Policy Statement**

To promote the safety and well-being of our employees, customers, and the communities we serve, SRP is committed to maintaining a drug/alcohol free work environment. Although marijuana may now be legal in Arizona, except as otherwise specified under Arizona law, SRP considers it to be an illegal drug for the purpose of our drug/alcohol policy because marijuana remains illegal at the federal level. Any candidate found to be impaired during the hiring process or who has the presence of an illegal drug or unauthorized substance in their system during the pre-employment drug/alcohol test may be disqualified from further consideration in the hiring process.

**Equal Opportunity Employer Statement**

Salt River Project (SRP) is committed to equal employment opportunity regardless of race, color, religion, sex (including pregnancy), gender identity, sexual orientation, national origin, age, disability, genetic information, military status, or any other protected status under applicable federal, state or local law.

**Work Authorization**

All candidates must be legally authorized to work in the United States.

Currently, SRP does not sponsor H1B visas, OPT, or other employment-related visa's.

**Nearest Major Market:** Phoenix

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Sr. Director Actuarial Services - Remote

**Job Description**

The Senior Director of Actuarial Services leads a team of actuaries responsible for providing strategic pricing direction and thought leadership to Prime’s existing and potential owners and clients across all lines of business through the creation and use of innovative actuarial modeling concepts. This position will provide direct oversight to both the rebate and trend projection process, including recommendations around all forecast/prospective trend assumptions across all of Prime’s business lines. This position works directly with Finance and functional departments on current and projected product and transactional costs and pricing strategy, as applicable. The position also directly facilitates the development of Prime’s Financial Value Statement.

**Responsibilities**

+ Leads a team of actuaries to provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling

+ Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all lines of business

+ Engages with functional leadership to develop and maintain projected trend assumptions related to utilization, unit cost, and gross/net rebate assumptions

+ Owns the annual client administrative pricing assumptions and model (owner pricing model)

+ Leads negotiations and presentations and translates highly complex concepts in ways that can be understood by a variety of audiences

+ Manage department budget, staffing, performance and development, and consistently demonstrate Prime’s leadership expectations during interactions with direct reports, cross functional and external stakeholders

+ Other duties as assigned

**Minimum Qualifications**

+ Bachelor’s degree in Math, Actuarial Science, Economics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

+ ASA or FSA designation

+ 10 years of actuarial work experience at a health plan or PBM

+ 7 years of leadership experience

+ Must be eligible to work in the United States without need for work visa or residency sponsorship

**Additional Qualifications**

+ Excellent quantitative, problem solving, and analytical skills

+ Ability to manage multiple, complex projects simultaneously without compromising quality

+ Strong client consulting presence; ability to distill complex material into easy to understand presentations, effectively respond to questions and engage a variety of audiences

+ Ability to communicate effectively with senior leaders across the organization

**Preferred Qualifications**

+ Master’s degree or credentialed equivalent

+ Experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges

+ Strong understanding of pharmacy plan design

**Minimum Physical Job Requirements**

+ Ability to travel up to 20% of the time

+ Constantly required to sit, use hands to handle or feel, talk and hear

+ Frequently required to reach with hands and arms

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

**Reporting Structure**

+ Reports to the VP or SVP in the Finance department

Potential pay for this position ranges from $164,000.00 - $279,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law._

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

Sr. Actuary

**Job Description**

The Senior Actuary is responsible for providing complex actuarial and pricing analyses to Prime’s existing and potential clients. This role will use, build, and develop innovative actuarial modeling concepts to assist strategically on trend, benefit design and pricing support for all Prime’s lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in complex projects that are highly visible to senior leadership and across the organization.

**Responsibilities**

+ Own, build, support, and maintain financial and complex actuarial models

+ Lead, perform, and review data analyses, reporting, and projections

+ Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts

+ Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses, and the RFP process

+ Present results and analyses to key stakeholders, senior management, and clients

+ Mentor Actuarial team members to enhance actuarial knowledge

+ Ensure work is consistent with actuarial standards, as applicable

+ Other duties as assigned

**Minimum Qualifications**

+ Bachelor’s degree in Math, Actuarial Science, Economics or Finance

+ 5 years of actuarial work experience to include 3 years in a healthcare organization or PBM

+ Actuarial designation (ASA or FSA)

+ Must be eligible to work in the United States without need for work visa or residency sponsorship

**Additional Qualifications**

+ Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA

+ Excellent quantitative, problem solving, and analytical skills

+ Self-motivated with the ability to balance and follow-up on multiple projects with attention to details

+ Excellent verbal and written communication skills

+ Excellent presentation skills

+ Strong project management and organizational skills

**Preferred Qualifications**

+ 5 years of actuarial work experience in a healthcare organization or PBM

+ Previous experience pricing Commercial, Medicare or Medicaid lines of businesses

+ 3 years of experience in SAS, SQL, or VBA

+ Previous experience in model development

+ Previous experience building and/or improving actuarial models or processes

**Minimum Physical Job Requirements**

+ Constantly required to sit, use hands to handle or feel, talk and hear

+ Frequently required to reach with hands and arms

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

**Reporting Structure**

+ Reports to Senior Principal in the Finance department

Potential pay for this position ranges from $94,700.00 - $151,300.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law._

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

**Description**

This position is open to candidates located in Dallas, Austin, Houston, Phoenix, Denver, Portland, Seattle, Irvine, Los Angeles or San Francisco. This is a hybrid role; the selected colleague must be willing and able to work out of a WTW office.

As a Healthcare Financial/Actuarial Director you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will lead clients’ financial/actuarial engagements for a portfolio of clients and/or significantly contribute to complex clients across the full spectrum of employer health and group benefit programs including medical, dental, life, disability, etc. In partnership with Client Service colleagues, you will communicate FAA concepts, strategies and results that effectively drive client action and improve plan performance. Will have the opportunity to work on cutting edge projects alongside leaders in the industry.

**Duties:**

+ Communicates and delivers complex concepts and financial/actuarial/analytic results to effectively drive client action and improve plan performance

+ Leads medium to large clients’ financial/actuarial engagements

+ ​Develops and delivers the financial/actuarial strategy for a portfolio of Medium and/or large clients

+ Drives revenue growth through client sales of additional actuarial, financial, and/or risk solutions

+ Provides consulting quality reviews and client delivery for all types of financial/actuarial deliverables​

+ Guides team (regional and global) on deliverables based on client need; review models and presentations for client delivery​

+ Builds relationships internally and collaborates effectively on cross-functional teams

**Qualifications**

+ 10+ years’ experience and demonstrated success in the delivery of complex health and welfare financial/actuarial strategies and analysis in a consulting or brokerage environment

+ Proven ability to generate revenue

+ Track record of success in managing and growing client relationships

+ Deep understanding and expert knowledge in all aspects of employee benefit plan design, underwriting and funding concepts

+ Proven ability to lead data analytic projects

+ Interest and aptitude in keeping abreast of latest developments in health and welfare plan strategy and leading the development of new intellectual capital

+ Ability to leverage judgement and past experiences to predict which methods will work

+ Multiple years of experience across one or multiple client segments

+ An executive presence with polished and well developed written and oral communication skills

+ Superior ability to influence and collaborate with senior management and work across all levels of an organization

+ Excellent Microsoft Office skills, particularly in Excel and PowerPoint

+ State Life and Health license required within 90 days of joining

+ Actuarial designation and current continuing education preferred

Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.

Equal Opportunity Employer

This position will remain posted for a minimum of three business days from the date posted or until a sufficient/appropriate candidate slate has been identified.

**Compensation and Benefits**

Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).

**Compensation**

The base salary compensation range being offered for this role is $140,000.00 - $180,000.00 USD .

This role is also eligible for an annual short-term incentive bonus.

**Company Benefits**

WTW provides a competitive benefit package which includes the following (eligibility requirements apply):

+ **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program)

+ **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (https://cdn-static.findly.com/wp-content/uploads/sites/1862/2023/01/31091722/Washington-State-Time-Off.pdf) ( _Washington State only_ )

+ **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k).

At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a ”hybrid” style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and “hybrid” is not a one-size-fits-all solution.

We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.

Human Capital

The Human Capital Offering Portfolio focuses on helping organizations manage and sustain their performance through their most important asset: their people. Centered on five core issues, this Portfolio signifies to the market that we see Human Capital as a topic critical to the C-Suite. As we go-to-market we will show our clients that we serve more than HR organizations - from the CEO to CFO, Risk Manager to Business Unit leader-and that we deliver on our issues and help create value for our clients.

Actuarial & Insurance Solutions

Deloitte's Actuarial & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property & casualty insurance companies, health plans, and healthcare providers modernize their operations and manage actuarial costs and risks. This involves helping our clients move from where they are today to where they need to be in the future. To enable our success, we use data and insights to inform better ways of managing risk.

With over 250 credentialed actuaries in the U.S., our A&IS practice is one of the largest in the world. We are recognized as a leader in providing comprehensive, high-quality actuarial consulting, advanced analytics, and risk management services to our clients.

Recruiting for this role will end on 2/28/2025

Work you'll do

As a Deloitte Consulting P&C Actuary Senior Consultant in the Insurance practice of Deloitte's Human Capital group, you will provide technical and analytical support in a consulting environment.

The job functions include the following:

+ Client project engagements involving reserve analyses, including Statements of Actuarial Opinion, pricing, mergers and acquisitions, financial modeling, economic capital modeling, enterprise risk management, new product development, strategic planning, pricing strategy development, target market assessments, competitive assessments of coverage and rating, development of rating models and factors for new product development and product enhancements, profitability analysis and audit support.

+ Assistance in financial management of client engagements, project management through utilization of project management tools.

+ Oversight and project management of more junior actuaries and staff work streams.

+ Gathering and analyzing data, assisting in development of proposals and collateral marketing and sales materials, and knowledge management.

Required Qualifications:

+ Bachelor's degree

+ 4+ years of property and casualty actuary experience

+ Successfully passed 4 actuarial exams

+ Limited immigration sponsorship may be available

+ Ability to travel 0-50%, on average, based on the work you do and the clients and industries/sectors you serve.

Preferred Qualifications:

+ Experience managing small sized teams

+ Knowledge of loss reserving methods

+ Proficiency using computer software such as Excel, Word, Access, and VBA

+ Strong analytical, written and verbal communication, and client management skills

+ Effective listening and questioning skills

+ Strong business ethics, ability to maintain independence and objectivity in client dealings

+ Demonstrated problem solving skills

+ Detailed exposure demonstrating competency with strong organizational skills and little supervision in the areas of:

+ Statutory/GAAP reporting, regulation, and compliance, Actuarial Standards of Practice

+ SAP, FASB, GASB and related accounting principles

+ Standard and advanced reserving methods

+ Pricing and cost allocation methods

+ Insurance/reinsurance company operations

+ Product development

+ Data sources/modeling

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

Possible Locations: Atlanta, Austin, Baltimore, Birmingham, Boca Raton, Boise, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Costa Mesa, Dallas, Davenport, Dayton, Denver, Des Moines, Detroit, Fort Worth, Fresno, Grand Rapids, Harrisburg, Hartford, Houston, Indianapolis, Jacksonville, Jersey City, Kansas City, Las Vegas, Los Angeles, Louisville, McLean, Memphis, Miami, Midland, Minneapolis, Morristown, Nashville, New Orleans, New York, Philadelphia, Pittsburgh, Portland, Princeton, Raleigh, Richmond, Rochester, Rosslyn, Sacramento, Salt Lake City, San Diego, San Francisco, San Jose, Seattle, St. Louis, Stamford, Tampa, Tempe, Tulsa, Washington DC

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $124,000 to $208,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

For more information about Human Capital, visit our landing page at: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Human Capital

The Human Capital Offering Portfolio focuses on helping organizations manage and sustain their performance through their most important asset: their people. Centered on five core issues, this Portfolio signifies to the market that we see Human Capital as a topic critical to the C-Suite. As we go-to-market we will show our clients that we serve more than HR organizations - from the CEO to CFO, Risk Manager to Business Unit leader-and that we deliver on our issues and help create value for our clients.

Actuarial & Insurance Solutions

Deloitte's Actuarial & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property & casualty insurance companies, health plans, and healthcare providers modernize their operations and manage actuarial costs and risks. This involves helping our clients move from where they are today to where they need to be in the future. To enable our success, we use data and insights to inform better ways of managing risk.

With over 250 credentialed actuaries in the U.S., our A&IS practice is one of the largest in the world. We are recognized as a leader in providing comprehensive, high-quality actuarial consulting, advanced analytics, and risk management services to our clients.

Recruiting for this role will end on 2/28/2025

Work you'll do

As a Deloitte Consulting P&C Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will provide technical and analytical support in a consulting environment.

The job functions include the following:

+ Client project engagements involving reserve analyses, including Statements of Actuarial Opinion, pricing, mergers and acquisitions, financial modeling, economic capital modeling, enterprise risk management, new product development, strategic planning, pricing strategy development, target market assessments, competitive assessments of coverage and rating, development of rating models and factors for new product development and product enhancements, profitability analysis and audit support.

+ Will also be involved in market and technical research, data resource and tool development, recruiting, training, and strategic planning.

+ May lead medium to large sized teams.

Required Qualifications:

+ Bachelor's degree

+ 6+ years of P&C Actuary experience

+ Successfully passed 5 actuarial exams

+ Limited immigration sponsorship may be available.

+ Ability to travel 0-50%, on average, based on the work you do and the clients and industries/sectors you serve.

Preferred:

+ Experience working in an insurance company or consulting environment

+ Experience leading medium to large sized teams

+ Proficiency using computer software such as Excel, Word, Access, and VBA

+ Strong analytical, written and verbal communication, and client management skills

+ Enthusiasm for serving clients and helping to further develop our consulting practice

+ Strong business ethics, ability to maintain independence and objectivity in client dealings

+ Demonstrated problem solving skills

+ Detailed exposure demonstrating competency with strong organizational skills and areas of:

+ Statutory/GAAP reporting, regulation, and compliance, Actuarial Standards of Practice

+ SAP, FASB, GASB and related accounting principles

+ Standard and advanced reserving methods

+ Pricing and cost allocation methods

+ Insurance/reinsurance company operations

+ Product development

+ Data sources/modeling

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

Possible Locations: Atlanta, Austin, Baltimore, Birmingham, Boca Raton, Boise, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Costa Mesa, Dallas, Davenport, Dayton, Denver, Des Moines, Detroit, Fort Worth, Fresno, Grand Rapids, Harrisburg, Hartford, Houston, Indianapolis, Jacksonville, Jersey City, Kansas City, Las Vegas, Los Angeles, Louisville, McLean, Memphis, Miami, Midland, Minneapolis, Morristown, Nashville, New Orleans, New York, Philadelphia, Pittsburgh, Portland, Princeton, Raleigh, Richmond, Rochester, Rosslyn, Sacramento, Salt Lake City, San Diego, San Francisco, San Jose, Seattle, St. Louis, Stamford, Tampa, Tempe, Tulsa, Washington DC

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $151,000 to $253,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

For more information about Human Capital, visit our landing page at: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-human-capital-consulting-jobs.html

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

**JOB DESCRIPTION**

**Job Summary**

Manages a process that blends standard actuarial modeling, medical economics, and financial reporting and analytics. Analyzes data for cost savings opportunities and performance improvement initiatives. Evaluates healthcare utilization and claims experience to identify areas of growth in coordination with health plan operational management. Collaborates with the Kentucky Finance, and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting.

**Job Duties**

+ Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies.

+ Analyze results to identify early signs of trends or other issues related to medical care cost.

+ Design and perform actuarial studies related to medical care costs and trends.

+ Research and develop reports and analysis for senior management, effectively presenting and communicating results.

+ Works closely with operational management to identify saving opportunities and areas of medical utilization concerns.

+ Provide support to financial closing process regarding estimated settlements and risk corridor calculations.

+ Pricing and tracking of capitation arrangements.

+ Stay abreast of professional developments and industry trends.

+ Provide guidance and mentorship to staff member.

**JOB QUALIFICATIONS**

**REQUIRED EDUCATION:**

Bachelor’s Degree

**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**

Minimum 6 years of experience in addition to leadership experience

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:**

Must have passed at least 4 actuarial exams.

**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**

ASA or near ASA

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $88,453 - $206,981 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.