Senior Actuarial Consultant - Texas Children's Health Plan

 
Position: Senior Actuarial Consultant - Texas Children's Health Plan

Job ID: 152117

Location: US-TX-Bellaire

Department: Admin - HP Finance

Talent Area: Finance

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health.  Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women.  We are an Integrated Community System providing holistic care that empowers families to live healthier lives.    Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.  Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals.   To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are looking for an Actuarial Consultant -- someone who works well in a fast-paced setting. In this position, you will provide actuarial oversight for multiple functions within the organization, including the Incurred But Not Paid ("IBNR") accrual, Premium Deficiency Reserve ("PDR") accrual and reinsurance processes as well as financial planning and analysis. Additionally, you will provide actuarial oversight for functions within the hospital’s system, including pension plan assumptions and self-insurance for medical malpractice.

 

Think you’ve got what it takes?



Responsibilities :

  • Provides actuarial oversight for multiple functions within our organization
  • Provides other assistance as needed to ensure successful departmental operations
  • Implements actuarial best practice policies and procedures
  • Reviews and approves monthly internal inputs into the IBNR and PDR calculations
  • Responsible for actuarial ownership for reinsurance strategy and provides senior management analysis for policy making
  • Supports financial analysis team with best-in-class actuarial techniques for rate setting and budgeting/forecasting
  • Researches, analyzes, and summarizes key findings on special projects and emerging accounting and actuarial standards and regulations
  • Proactively identifies opportunities and threats from regulatory changes to actuarial items; actively manages and mitigates actuarial-related regulatory and compliance issues faced by the hospital


Qualifications:

  • Bachelor’s degree in actuarial science, accounting, finance, statistics or mathematics required
  • Master’s degree in actuarial science preferred
  • FSA or ASA credentials from the Society of Actuaries required
  • 5 years’ actuarial experience required
  • Deep knowledge of U.S. GAAP and statutory accounting
  • Knowledge of Medicaid and Managed Care operating principles


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