Director of Actuarial Services
Company: MMM Holdings
Location: White Plains
Posted on: January 11, 2021
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Job Description:
It's fun to work in a company where people truly BELIEVE in what
they're doing! We're committed to bringing passion and customer
focus to the business. InnovaCare Health operates a growing family
of integrated healthcare companies focused on improving the health
of patient populations through value-based, coordinated care.
Through physician-led models and cutting-edge technology,
InnovaCare has built a 20-year track record of growth and a
national reputation for excellence. In each unique market the
company enters, InnovaCare works across the healthcare ecosystem -
with patients, providers, payers and other partners - to increase
access to high-quality, coordinated care. Based in White Plains,
N.Y., InnovaCare manages nearly 600,000 lives. InnovaCare is the
8th largest Medicare Advantage plan in the nation, with one of the
highest percentages of dual-eligible beneficiaries. Since 1998,
InnovaCare and its subsidiaries have been market leaders in
transforming healthcare by distributing risk and developing
proprietary technologies to inspire patient and provider
engagement. The company's physician practices and health plans have
continuously received some of the nation's highest scores for
quality from the Centers for Medicare and Medicaid Services (CMS).
With strong financial support from a leading global investment
firm, Summit Partners, InnovaCare combines management expertise,
value-based solutions, best-in-class technology and data analytics
to achieve industry-leading outcomes and deliver the best possible
experience to members and patients. Summit Partners is a global
alternative investment firm that currently manages more than $19
billion in capital dedicated to growth equity, fixed income and
public equity opportunities. Summit invests across growth sectors
of the economy and has invested in more than 500 companies in
technology, healthcare, consumer, financial and business services,
and other growth industries. Summit maintains offices in North
America and Europe, and invests in companies around the world.
Actuarial Department InnovaCare's Actuarial Department serves a
pivotal role in the Company's leadership, fulfilling core actuarial
functions and providing key strategic decision-making support.
Department leadership is focused on training future leaders,
placing heavy emphasis on technical knowledge and strong
communication, actuarial modeling and strategic thinking,
individual contributions and teamwork, both within the Department
and across the Company at large. While InnovaCare actuaries each
spend time focusing on specific core disciplines, a dynamic
fast-paced environment coupled with a regular rotation will
ultimately expose actuaries to many key functions within the
Company. Actuarial Department, Director of Clinics Core
Responsibilities * Work closely with the various clinic markets
managing all aspects of the forecasting, monitoring, and reporting
* Serve as a primary Actuarial point of contact within the various
Clinic markets working closely with Finance, Medical Management,
Contracting, Operations, and other departments as needed * Support
annual budget process and monthly forecast refresh process *
Support monthly reserve setting process * Perform variance analyses
versus budget and prior periods * Help support quarterly audits *
Build and/or optimize efficient and robust analytical models and
processes, based on the needs of the business * Deliver actuarial
communications including results of requested analyzes * Preform
database queries using Microsoft Access, SQL, or SAS * Ensure data
validation and reconciliation * Perform other regular and ad-hoc
analyses at the direction of Senior Actuarial Management * Assist
in recruitment and training of the Actuarial Clinics team as needed
* Manage 1-3 actuarial resources and/or external consultants as
needed Requirements * Bachelor's and/or Master's degree * 7+ years
of experience actuarial experience * 3+ years of experience with
healthcare plan reporting * Fellowship or Associate of the Society
of Actuaries (SOA) * Mastery of Microsoft Excel * Must be
authorized to work in the United States and have permission from
the government to earn an income by working in the United States *
Periodic travel to various markets (15%-30%) * A self-motivated,
detail-oriented individual with a demonstrated ability to lead
projects, work well independently, and work well in teams * Strong
analytical and problem-solving skills * Excellent time management
skills * Previous experience leading people and/or projects *
Strong written and verbal communication skills, including the
ability to communicate complex concepts effectively with technical
and non-technical audiences Desirable Qualifications (not
requirements) * Knowledge of SAS and SQL * Experience with Medicare
Advantage * Exposure to Microsoft Access, PowerPoint * Background
in one or more computer programming languages preferred If you like
wild growth and working with happy, enthusiastic over-achievers,
you'll enjoy your career with us!
Keywords: MMM Holdings, White Plains , Director of Actuarial Services, Executive , White Plains, New York
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