Banner Health Job - 32410148 | CareerArc
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Company: Banner Health
Location: Phoenix, AZ
Career Level: Director
Industries: Healthcare, Pharmaceutical, Biotech

Description

Operating a hospital is more than IV bags and trauma rooms. One might be surprised by the number of people – and the hats they wear – who work behind the scenes to make sure a hospital runs smoothly and safely for our patients, visitors and staff. Each one plays a critical role and is part of a team to ensure the best care for our patients.

 

The Actuary Director is a highly visible role where you will have the opportunity to be a part of healthcare transformation as Banner continues to expand our health plan services, working directly with leadership to build relationships and be part of the strategic growth plan. Banner Health is known nationally as a trailblazer in new health care models, where insurance plans and physicians come together to work collaboratively to make things easier for our members.

 

As the Actuary Director you will lead healthcare actuarial analyses by focusing on healthcare analytics, analyzing financial risk, projections, pricing, etc..  The Actuary Director will develop internal expertise of actuarial services that will enable the Banner Health Insurance Division to expand its product offerings (Medicare, Medicaid, ACO Risk Contracts) in a complex healthcare environment and increase financial statement predictability.  You will work on a will work on a new and growing team and have the unique opportunity to watch this work come to fruition.

 

Your pay and benefits are important components of your Journey at Banner Health. This opportunity is also eligible for our Management Incentive Program, as part of your Total Rewards package. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

About Banner Health Network & Banner Plan Administration
Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

 

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

Job Summary

This position will analyze, develop, and/or submit Medicare Advantage and Prescription Drug (MA-PD) plan bid pricing tools and/or plan benefit packages. Responsible for developing the organizations premium rate structure through regular systematic analysis and forecasting of financial/statistical data which is actuarially sound, competitive in the marketplace, and provides income in accordance with organizational goals and objectives. The actuary will be encouraged to progress in their career development under the Banner Actuarial Professional Development Program.


Essential Functions

  • Directs, supervises, and evaluates healthcare actuarial analyses for MA-PD plans.

  • Leads projections, pricing, reserving, and other analyses using tools developed in Excel, SAS, Teradata, Tableau, and other software, with the oversight and feedback from senior actuarial staff.

  • Develops/presents results of the performed analyses to senior actuarial staff and/or insurance division executives.

  • Participates in the development of actuarial models and reports for the continued growth of the actuarial team.

  • Provides support to actuarial staff in performing IBNR estimates, financial reporting, and rate adequacy studies.

  • Researches and compiles information about healthcare regulations.

  • Minimum Qualifications

    Bachelor's Degree in Statistics, Mathematics, Actuarial Science, Business, Finance, or Healthcare Administration.

    Associate of the Society of Actuaries (ASA) designation.

    Ten or more years of actuarial experience in healthcare; at least five years of MA-PD bid experience.

    Knowledge of software for data analysis; specifically spreadsheets (e.g. MS Excel, VBA), data extraction and manipulation (e.g. SAS, Teradata, R) and data visualization (e.g. Tableau).

    Preferred Qualifications

    License/Certification: Fellow of the Society of Actuaries (FSA) designation. Ten or more years of actuarial experience in MA-PD bid development.

    Additional related education and/or experience preferred.


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