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Director of Actuarial Services

Company: MMM Holdings
Location: White Plains
Posted on: January 11, 2021

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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