Job ID: J125342
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Facility: 4 Allegheny Center
Full/Part Time: Full time
Job Type: Regular
Posted at: Jun 28, 2018
Accountable for all pricing of Gateway Health’s insurance products including Medicare, Medicaid, and LTSS for all States.
Work closely with Gateway’s senior leadership to ensure that product pricing structures support corporate strategic and financial objectives.
Accountable for ensuring that month end actuarial assumptions and development of IBNR models are accurate and appropriate
Oversee the annual Medicare bid process
Responsible for the contractual relationship for all outside actuarial support
Oversee the hiring and development of the Gateway actuarial department
Oversee the development of medical cost data to support the monthly product meetings with senior leadership
Serve as one of the lead negotiators and contacts with the States concerning rate negotiations
1. Lead the Actuarial Function
2. Responsible either directly or through subordinate staff for providing support and advice to senior management, Product Management & Development, Sales, and to other areas of Finance
3. Accountable for the development and oversight of IBNR
4. Accountable for overseeing regulatory filings
5. Oversees the actuarial function for the Medicare bid process
6. Accountable for coordinating the development and maintenance of pricing and risk management policies and the development of actuarial modeling for new State offerings and products
7. Other duties as assigned or requested.
Bachelor’s degree in Mathematics, Economics, Actuarial Science
Knowledge, Skills and Abilities
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees? Yes
Is Travel Required?
This job requires the ability to work as a team member. Additionally, this job requires the willingness and ability to report to work on a regular and timely basis and may require irregular work hours, holidays and/or weekends.
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