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Accounting & Finance WellCare - Actuarial Services Careers

Actuary (level I) Job

Full Job Title: Actuary (level 1)

Job Number: 1701365

Location: Tampa, FL

Date Posted: 7-13-2017

LOCATION: Henderson Road, Tampa, FL

DEPARTMENT: Fin-Actuarial Services

REPORTING TO: Sr Dir, Actuary

Work with or lead a team of analysts to provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Participate as a key strategic member of the Actuarial team. Provide pro-active analysis and recommendations to management on both a tactical and strategic nature.
Essential Functions:
  • Monthly calculation of the Corporation's IBNR reserves.
  • Assist with development annual Medicare filings and state rate filings, including all managerial review and certification if necessary.
  • Develop actionable recommendations to management relative to all analysis.
  • Perform monthly analysis identifying opportunities to reduce cost and utilization.
  • Lead cross functional teams to address key issues facing the organization.
  • Evaluate Government reimbursement process to determine areas of risk and opportunity.
  • Participate in regional initiatives to improve operating results.
  • Initiate key analysis to improve overall MLR results.
  • Work closely with Chief Vice President of Actuarial Services, outside consultants and management to ensure that projects conform to Actuarial Standards of Practice.
  • Monitor trends and changes in the actuarial field and healthcare industry and communicate findings to management and associates.
  • Work toward and/or maintain necessary continuing education requirements as required by the Society of Actuaries.
Education/Experience: (include any licenses or certifications required)
  • Bachelor's degree from four-year college or university or a Graduate degree.
  • Designation of Associate of the Society of Actuaries.
  • 2 or more years of significant industry experience.

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Last Updated On: 12/9/2015