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Evolent Health
Tulsa, OK, United States
Evolent Health Director, Actuarial Services Indianapolis , Indiana Apply Now Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure peopl
Job Source: Evolent HealthEvolent Health
Tulsa, OK, United States
Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX ) Evolent Health Director, Actuarial Services Hartford , Connecticut Apply Now Evolent partners with health plans and providers to achie
Job Source: Evolent HealthHunton Andrews Kurth LLP
Tulsa, OK, United States
Hunton Andrews Kurth LLP Finance Director Richmond , Virginia Apply Now Hunton Andrews Kurth LLP, an international law firm, is actively recruiting for a Finance Director. This role directs and provides planning and leadership in many aspects of finance and accounting for the firm, including all financial transactions between the firm
Job Source: Hunton Andrews Kurth LLPUniversity of Miami
Tulsa, OK, United States
University of Miami Director, Finance Miami , Florida Apply Now If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff pos
Job Source: University of MiamiGateway Group Personnel
Tulsa, OK, United States
Newly created position, reporting to the Business Unit President ($100m currently forecasting 1.5x growth over next 5 years; owned by +$2b publicly traded corporation with diversified portfolio), the Director of Finance will be the most senior level resource, serving as the Financial Business Partner across all areas of company. Responsibilities i
Job Source: Gateway Group PersonnelDavita
Tulsa, OK, United States
2000 16th Street,Denver,Colorado,80202,United States of America No Brag, Just Fact! Over the last decade, we set out to be the world's greatest dialysiscompany, and over the next decade, we're poised to build the greatesthealthcare community the world has ever seen. When you join the DaVitaVillage, you're joining a winning team. Through our commitm
Job Source: DavitaThrivepeo
Tulsa, OK, United States
Overview Our client seeks motivated professionals who want to use their talents and skills to make a difference in ending and preventing homelessness and housing instability. As the lead agency for Tulsa City and County's Continuum of Care (CoC) and A Way Home for Tulsa (AWH4T), we coordinate a coalition of community agencies and a system approach
Job Source: ThrivepeoMoney Fit by DRS
Tulsa, OK, United States
#WeAreONEOK – Fortune 500 company. 100+ years in business. Leading midstream service provider. Safety first. Sustainable operations. Environmentally responsible. Employee focused. JOB SUMMARY This position is hybrid to our Corporate Office in Tulsa, OK. Job Profile Summary Responsible for identification and evaluation of gas supply opportu
Job Source: Money Fit by DRSTulsa, OK, United States
JOB SUMMARY:
Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including product and bid filing activities. Directs the development and analysis of the financial budget, with particular emphasis on premiums, medical costs and provider reimbursement plans. Directs and manages the analysis of medical, pharmacy, and other claim costs and related expenses, including utilization and other trends affecting the company. Directs and manages the estimation and reporting of the Company's claims reserves using actuarial reserving practices. Directs the Company's reinsurance program and manages both the broker and carrier relationships. Directs the development of special reports requested by senior management.
KEY RESPONSIBILITIES:
* Directs and manages the preparation of the annual product filings for all lines of business, including budgets, forecasts, and related analysis.
* Directs the performance and development of Underwriting, Data Analytics and Reporting, and Actuarial staff
* Directs the Underwriting Department, including rating decisions for large groups, MLR and medical cost analysis, Federal and State rate filings, and related matters. Works closely with the Marketing Department on new business and renewal proposals.
* Directs and manages the projection of claims reserves for the Company and owners' self-funded groups, including preparation of related supporting schedules using actuarial reserving practices. Works with consulting actuary on annual reserve certification.
* Directs preparation of data for the annual Medicare and ACA Marketplace/SHOP bids. Works closely with the Companies' consulting actuaries to develop recommended rates and ensure appropriate decisions and recommendations are in place.
* Directs the completion of special projects and reports as requested by senior management.
* Directs the financial and actuarial analysis of the Companies' medical loss ratios and related components, including various monthly financial analyses and MD&A.
* Directs reinsurance program activities including risk analysis, claim recoveries from reinsurers, and the annual reinsurance contract review and renewal. Works closely with the Claims and Medical Management departments in the handling of high dollar members.
QUALIFICATIONS:
* Ability to apply advanced mathematical and statistical principles and techniques.
* Excellent knowledge and skills in the use of advanced spreadsheet and database applications.
* Strong knowledge and experience in the use of appropriate actuarial methods and techniques for health claim reserving.
* Successful completion of Health Care Sanctions background check.
* Ability to speak and write fluently in English.
EDUCATION/EXPERIENCE:
* Bachelor's degree in actuarial science, math, finance, accounting, or related discipline. Graduate degree desired.
* ASA, FSA, or AAA strongly preferred.
* 10+ years of health plan experience.
* 10+ years of financial and/or actuarial analysis experience.
* 5+ years of supervisory or management experience.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
Other details
* Job Family Commercial
* Pay Type Salary
* Required Education Bachelor's Degree
Apply Now
* Tulsa, OK, USA
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Email Alert for Accounting/Finance - Director Actuarial & Analytics jobs in Tulsa, OK, United States
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