What are the responsibilities and job description for the Director of Actuarial Services position at CommuniCare Family of Companies?
PURPOSE / BELIEF STATEMENT
Actuarial Services support is an important function within the organization. The Director of Actuarial Services provides support to two health plans CommuniCare Advantage and West Virginia Senior Advantage. Will also provide support to the ACO Reach organization. Builds tools and provides analysis and recommendations for bid pricing, benefit design, service area expansion, claims reserves, partnerships and other estimates as required. This position will report to the CFO and work closely with Analysts, Accountants, and Data Architects.
JOB DUTIES & RESPONSIBILITIES
- Build and maintain databases and reports relevant to claims analytics and benefit pricing an utilization.
- Model and analyze performance through reports and dashboards
- Prepare statements and reports for presentation to Board of Directors
- Work closely with internal team and external actuary contract support for bid completion and statement of actuarial opinion for annual filings.
- Applies expert knowledge and modeling to create new and improve existing processes.
- Assists with reserve analysis
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
KNOWLEDGE / SKILLS / ABILITIES
