Director, Actuary

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Innovation and highly trained staff. Banner Health leaders can access the staff and resources they need to bring their vision to life. If you're looking to leverage your abilities - you belong at Banner Health.

In the highly visible role of 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.

This position will lead healthcare actuarial analyses. Their work will focus on healthcare analytics, analyzing financial risk, projections, pricing, etc. They will work on a new and growing team and have the unique opportunity to watch their work come to fruition.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

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.

POSITION SUMMARY

This position will lead healthcare actuarial analyses under minimal supervision of senior actuarial staff. The position will either have knowledge of, or will become knowledgeable in, Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), Commercial ACOs, Employer Plans, Medicare Advantage Prescription Drug (MA-PD) plans, Medicaid, Medical Economics, and other healthcare data analytics. The actuary will be encouraged to progress in their career development under the Banner Actuarial Professional Development Program.

CORE FUNCTIONS

1. Lead healthcare actuarial analyses under minimal supervision of senior actuarial staff.

2. Lead 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.

3. Develop/present results of the performed analyses to senior actuarial staff and/or insurance division executives.

4. Participate in the development of actuarial models and reports for the continued growth of the actuarial team.

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

6. Research and compile information about healthcare regulations.

7. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

MINIMUM QUALIFICATIONS

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

License/Certification: Associate of the Society of Actuaries (ASA) designation.

Seven plus years of actuarial experience in healthcare; specifically in Medicare, Medicaid, and/or Commercial.

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.