Provides direction and oversight of the development and maintenance of all necessary data, analyses, tools, reports, rating and reimbursement structures, etc., needed to support the products and services offered and the associated business decisions. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
Provides direction for pricing, rate filings and designs for all lines of business. Coordinates development of annual required rate filings for ACA and Medicare. Coordinates risk adjustment analysis and accrual development.
Provides direction and oversight for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components. Analyzes and develops financial statement reserves and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc. Provides input and support for internal and external audits and reporting.
Provides direction and oversight of development and maintenance of analysis, forecasting, administrative models, and reporting of budget projection inputs, both in aggregate and various components. Provides direction and oversight of development, analysis, and reporting of facility, physician, and other provider reimbursement structures, models and service utilization information. Coordinates and develops Retiree Drug Subsidy data reporting and submissions.
Designs, develops, and maintains data extracts and complex queries and on-line data analysis and reporting tools. Skills Analytical Thinking Management Reporting Product Development Analytic Software Programs Teamwork Intermediate SQL Stop Loss Calculations Communication of results Actuarial Health Knowledge Finance Statements Qualifications Bachelor's degree in math, statistics, computer science, economics or finance obtained through an accredited institution.
Education is verified. Associate of the Society of Actuaries and four years of relevant actuarial experience.
Understanding of underlying theory and effects of assumptions used in product development and maintenance. Knowledge of health insurance products. Physical Requirements Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands. See and read computer monitors and documents. Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
SH only Manual dexterity, seeing. Location: SelectHealth - Murray Work City: Murray Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $51.11 - $80.45 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here . By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment.
I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment. Intermountain Health is an equal opportunity employer.
Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you.
While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.
Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.