Manager, Actuarial Services - Medicare Advantage

NOTE: This position will allow you to work remotely throughout the U.S.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

Manages the work of a team to achieve company goals. Analyzes and reports on developing experience and proposals.

Responsibilities

• Manages and trains team members.
• Proposes premiums that achieve company goals.
• Forecasts the future Trends.
• Reviews appropriateness of rating factors by plan, area, network, etc.
• Performs ad hoc analyses as needed.
• Monitors emerging experience.
• Performs other duties as assigned.

Qualifications

Education and Experience:

• 6 years of actuarial work with 3 years in a leadership position preferred
• Bachelor's Degree in Math, Actuarial Science, Business Administration or related field required
• Prior Medicare bid submission experience preferred
• Master's Degree preferred.

Professional Certification(s):

• Associate or Fellow of the Society of Actuaries (ASA/FSA) or commensurate experience.

Technical Skills and Knowledge:

• Able to analyze and solve complex problems.
• Proficient with computer programs: Intermediate MS Office Skills, including Access
• Knowledge of SAS, VBA, SQL or other similar statistical software preferred.
• Medicare Advantage and/or Part D relevent experience preferred
• Ability to manage people, projects, time.
• Knowledge of enrollment, premiums, and claims within business segments insured by MMO
• Demonstrated ability to plan and execute strategies designed to price new products.

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Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse, and headset.
• Whether you are working remotely or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at our Brooklyn, OH location. Convenience stores at many locations.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits

• Employee bonus program
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life, and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After one year of service, parental leave for eligible employees who become parents through maternity, paternity, or adoption.

An Investment in You

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive, and welcoming culture with Business Resource Groups.

About Medical Mutual

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we do not answer Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There is a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Our plans provide peace of mind to more than 1.5 million Ohioans.

We are not just one of the largest health insurance companies based in Ohio, we are also the longest running. Founded in 1934, we aree proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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