What are the responsibilities and job description for the Manager, Actuarial Services position at HFMS HF Management Services, LLC?
Hybrid Work Schedule consists of reporting to our 100 Church Street, NYC office 3 days per week.
The Manager Actuarial Services – Trend is responsible for managing actuarial analysis, modeling, and deliverables related to Medical Trend across all Healthfirst lines of business, as outlined in the scope of responsibilities.
Scope of Responsibilities:
- Build and maintain models for analyzing historical medical trend which normalize for impacts of seasonality, fee schedules, benefits, population changes, etc.
- Monitor and interpret drivers of medical trend separating unit cost, utilization, mix, severity, etc.
- Track and assess industry trend resources, where applicable.
- Partner with other teams to align on emerging trends and insights.
- Develop projection trend assumptions/factors, including model and method development, to support other actuarial functions such as reserving, forecasting, and pricing.
- Participate in monthly close meetings, Quarterly Business Reviews, and Annual Budget on topics related to explaining medical trend experience, drivers, assumptions, and projections.
- Manage and direct staff as appropriate.
Required Qualifications:
- Bachelor’s degree in actuarial science, Math, Economics, Finance or any related degree
- Experience in the actuarial field related to Medical Trend
- Experience working with medical claims codes and datasets
- Experience with programming/coding, preferably SAS, SQL, or Python
- Ability to collect, analyze and summarize qualitative/quantitative data
Preferred Qualifications:
- ASA (Associate, Society of Actuaries) membership
- MAAA (Member, American Academy of Actuaries) membership
- Prior work experience managing one or more staff
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
Salary : $86,500 - $128,690