Manager, Actuarial Reserving, Forecasting & Risk Management Support (Remote)

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Posted 5 days ago United States Salary undisclosed
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Job Description

The Actuarial Manager of RFC (Reserving, Forecasting, and Contract Support) is a critical member of the AllWays Health Partners financial leadership. Each month the manager is responsible for setting the IBNR Reserve but also other key reserves like 3Rs, Mass Health Risk Corridors, and MLR Rebate. In addition the unique knowledge of the financial statements it is responsible with forecasting and is an integral part of the team building communications and business planning for senior management and the board of directors. In recent years there has been a renewed drive for provider groups to move to risk contracts, in this role the actuary will guide contracting in apply actuarial risk principles to these new contracts.Requires BS in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics etc.) and Credentialed actuary prefer Fellow of the Society of Actuary or ASA with strong progress to FSA. Understanding of reserving models, health insurance data sets, and product compliance testing is a plus. Candidate is expected to have a working understanding of Excel, SAS and strong written and oral communication skills.Essential Functions:The following are the core responsibilities for the Manager of RFC:1. Responsible for monthly IBNR and other actuarial accruals (MLR Rebate, 3R, HIT tax, PDR, Provider Bonus, etc.)2. Responsible for explaining and monitoring AllWays Health Partners' run rate when accounting for moving pieces from 13. Annual update of actuarial memorandum and support of actuarial memorandum)4. Support 2 annual audits (9/30 Mass General Brigham close, and 12/31 AllWays Health Partners close) in addition to triennial DOI audit5. Quarterly forecasting of AllWays Health Partners financial statements for purposes of business planning6. Assist in developing materials for Chief Actuary, Senior Management, and Finance Committee to7. Represent actuarial in contract support activities including guiding contracting on development, projection, or refinements on risk contracts8. Monitoring actual financial development against the forecast9. Lead small team of actuarial analysts• Other duties as assigned with or without accommodation.Qualifications KNOWLEDGE AND EDUCATIONRequired:• Undergraduate in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics etc.)• ASA or FSAPreferred/Desired:• Degree in quantitative discipline• Microsoft Office• VBA, SAS, SQL a plusEXPERIENCERequired:• Prior work experience in a process driven environmentPreferred/Desired:• At least 5 years of progressive actuarial experienceSKILLS/COMPETENCIES • Demonstrates AllWays Health Partners Core Values of Service Excellence, Quality Care, Diversity, Responsibility and Relationships.• Respects the talent and unique contribution of every individual, culture and ethnic group and treats all people in a fair and equitable manner. • Exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.• Accountable for delivering high quality work.EEO Statement Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.