Director of Medicare Actuarial Services

WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.

Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294393)

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary:

The Director of Medicare Actuarial Services is a key member of the Finance leadership team. Working closely with the CFO, the Chief Actuary, Product and Marketing leadership, and other internal and external stakeholders, the Director will play an integral role on ensuring the financial soundness and profitable growth of Medicare products, by leading the annual CMS bids, developing financial analytics / reporting, and identifying profit and growth opportunities.

Our Investment in You:

· Full-time remote work

· Competitive salaries

· Excellent benefits

Supervision Exercised:

• Directs 2-5 staff within multiple functions

Supervision Received:

• General supervision is received weekly

Qualifications:

Education:

· Bachelor’s Degree in Actuarial Science, Economics, Statistics, Mathematics, Finance, Health Care Administration, or related field required

Preferred/Desirable:

• Master’s Degree preferred

• Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) required

Experience:

• Eight (8) + years progressively responsible experience in health actuarial analytics required, with four(4) + years of prior management experience strongly preferred.

Certification or Conditions of Employment:

• Pre-employment background check

Competencies, Skills, and Attributes :

• Expert analyst with an ability to translate findings into real world solutions

• Ability to use well developed interpersonal skills to direct and influence the efforts of others, both internally and externally

• Ability to conceptualize and envision the impact of change, and propose new ways to do business

• Proficiency with SAS/SQL and MS Excel

• Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus

• Strong communications skills, both verbal and written, are required

• Strong understanding of health care data and analytical methodologies

• Strong team player

• Effective collaborative and proven process improvement skills

Working Conditions and Physical Effort:

• Work is performed in a remote working environment

• No or very limited physical effort required

• No or very limited exposure to physical risk

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294393)

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