Job Information
WellSense Director of Medicare Actuarial Services in United States
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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According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm_source=govdelivery) .