Position: Vice President, Actuarial Services
The Vice President, Actuarial Services will lead Monogram Health’s actuarial functions, supporting key pricing and financial decisions using the most up to date actuarial science and analytical tools, while maintaining a high level of compliance with regulations and actuarial standards. This executive will leverage the skillset and knowledge to be a leading influencer across Monogram Health.
Roles and Responsibilities
- Lead pricing across all market segments in which Monogram Health participates to achieve target profit margins
- Build strong working relationships with health plan clients
- Build an understanding of the drivers of medical and pharmacy trend in order to support efforts to lower trend and to enable projection of future trends for pricing and budgeting purposes
- Develop appropriate estimates of unpaid claims and other relevant accruals
- Stay apprised of general health and insurance industry and Medicaid trends and ensure knowledge is shared across peers and Senior Leadership
- Ensure actuarial department is adequately staffed and create an environment conducive to high engagement and career growth
- Proactively seek to continuously improve our actuarial capabilities in terms of skillsets, tools, benchmarks and technologies
- Build strong relationships with Officers across the company and exercise effective influence on key initiatives across the enterprise
- Other duties as assigned
- Adhere to Monogram Health information security and privacy requirements
Position Requirements
- Bachelor’s Degree in actuarial, management science, mathematics or similar and ASA/FSA (Associate/Fellow of the Society of Actuaries) designation
- 10+ years of hands-on experience in the actuarial field including 7+ years of in-depth experience in health insurance including knowledge of health benefits products and funding arrangements
- Well-versed in the identification and management of risk
- Ability to critically approach a wide variety of operational issues and produce results through delivering analytically developed, strategic business solutions
- Experience in building, leading, motivating, evaluating teams and complex programs. A collaborative leader; experience building consensus and influencing decisions through the development and maintenance of effective working relationships with executive management. Executive presence and ability to deliver a variety of messages to a variety of audiences including board presentations.
- Travel required to Nashville, TN, Phoenix, AZ, and client sites as business needs require (25%)
- Is forward-thinking, exhibits the ability to learn quickly; advocates and proactively leads change efforts; analyzes successes and failures for improvement opportunities; enjoys challenges. Experience planning and implementing change initiatives, remaining flexible to meet constantly changing and sometimes opposing demands. Supports innovation and creativity by encouraging staff to accept and resolve challenges.
- Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care
- Competitive salary and opportunity to participate in the company’s bonus program
- Flexible paid leave and vacation policy
- 401(k) plan with matching contributions
About Monogram Health
Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.
Equal Opportunity Employer
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