Director, Actuarial Science (Rate Advocacy, Month End Close, Forecasting)

Job Summary:

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance.

Essential Functions:
- Accountable for pricing, forecasting, month-end close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast. Develop activities to improve efficiency and affordability

- Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals / initiatives; bid pricing models, financial projections, contract modeling, ad hoc support projects

- Proactively identify and influence at Senior Management levels Actuarial concepts / business drivers to support interactions with federal level and state level regulators

- On request, lead new business projects for the business development team at the Senior Management level

- Responsible for the integrity of all federal or state rate filing requirements as necessary

- Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals

- Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams

- Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and sub-regulatory guidance

- Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area

- Understand and explain the financial drivers for owned product/market, including IBNR and other accruals

- Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department; partner with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support pricing, forecasting, financial analysis, regulatory support, and other actuarial functions.

- Remain current on emerging AI capabilities, evaluating applicability to actuarial work, and guiding responsible implementation to improve efficiency, insight generation, and business decision support

- Perform any other job related duties as requested.

Education and Experience:
- Bachelor's degree in actuarial science, mathematics, economics or a related field required

- Eight (8) years of decision support, financial analysis, or actuarial experience preferred

- Three (3) years of management experience preferred

- Strong database (SAS or Access) experience preferred

- Managed Care or healthcare experience preferred

Competencies, Knowledge and Skills:
- Excellent written and verbal communication skills

- Excellent listening and critical thinking skills

- Strong interpersonal skills and high level of professionalism

- Ability to manage, develop, and motivate staff

- Ability to interact with all levels of management as well as external stakeholders

- Excellent problem-solving skills and attention to detail

- Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations

- Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results

- Ability to lead audits of data and models

- Demonstrate sound business judgment when drawing conclusions and making decisions

- Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point

- Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

Licensure and Certification:
- Associate of the Society of