Director, Underwriting/Pricing – Certified Actuary (FSA/ASA)
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Job Description
Director of Underwriting/Pricing managing the development and pricing of new product financial models at Magellan Health. Collaborating with business units for comprehensive product enhancements and analysis.
Responsibilities:
- Responsible for the development and underwriting of new product financial and programmatic cost models
- Work with existing models and customers on product enhancements and modifications
- Prepare analyses and various ad-hoc projects for executive management
- Develop, document, and apply underwriting procedures, analytical approach, and requisite tools for new products
- Review utilization, cost trends, and other assumptions used in pricing models
- Evaluate cost impact of new product initiatives and assess risk associated with each
- Direct, oversee, and coordinate with the Manager, Underwriting to ensure appropriate underwriting procedures are applied
- Provide recommendations on product and customer rates to senior management team for approval
- Analyze claims detail data from multiple in-house claims processing systems and external claims data
- Interact with clients/customers and internal staff to resolve issues related to information provided
Requirements:
- ASA or FSA Required
- Knowledge of underwriting principles in a managed care environment
- Excellent written and communication skills
- Ability to self-start and work independently
- Good analytical, reasoning and problem solving skills
- Strong organizational skills and must be able to adhere to strict deadlines
- Willingness to learn new product lines and adapt to changing environment
- Strong working knowledge Microsoft Office Product suite, specifically Excel
- Experience with managing large data sets with tools such as MS Access
- Actuarial pricing experience required
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Comprehensive benefits package
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