Job Description

Our client is looking for an Actuary to lead and build out their Actuarial team in TX. This role involves driving strategy and managing actuarial functions to achieve key membership and financial outcomes. You will have expertise in actuarial methodologies for self-funding, level-funding, employer stop-loss, and fully insured products, collaborating closely with teams across Product, Underwriting, and Finance, as well as external partners.

Key Responsibilities:

• Monitor claims trends, utilization, and data anomalies, providing insights through visualizations, dashboards, and reports.
• Support budgeting, forecasting, and strategic planning with the FP&A team, analyzing performance data and tracking KPIs.
• Oversee pricing for health products, managing external resources to assess trend drivers, and develop actuarial models for product pricing, rate filings, and cost management.
• Lead the development and implementation of actuarial strategies aligned with business goals and regulatory requirements.
• Advise the executive team and board on pricing, risk management, and financial planning.
• Assess and mitigate financial and operational risks related to health insurance products.
• Ensure compliance with regulatory standards, including rate filings, solvency, and actuarial certifications, and represent the company during audits.
• Manage and mentor a team, fostering a culture of diversity, equity, and inclusion while driving innovation and professional growth.
  

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