The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and government program actuarial and risk adjustment topics. This role provides financial guidance to organizational executives and system executives regarding insurance risk evaluation, premium rate setting, risk adjusted revenue process, merger and acquisition activities and assistance with strategic positioning of the integrated health system. The Director of Actuarial & Risk Adjustment Services partners with the Chief Actuary to lead unit development and execution of strategy through tactics, actions, processes, plans, and analytical tools to deliver data-driven solutions that positively impact the improvement of members’ health and lower the total cost of care. The Director of Actuarial & Risk Adjustment Services manages and directs a team of actuaries and analysts.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Bachelor's degree in mathematics, statistics, actuarial science or related field
Ten years of progressive actuarial experience
Three years management experience
Associate of the Society of Actuaries and Member of the American Academy of Actuaries
Experience in pricing, reserving, analysis and other actuarial functions
Working knowledge of overall market trends and industry practices related to health insurance
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Marshfield Clinic Health System
1000 N. Oak Ave., Marshfield, WI 54449
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Internal Number: R-0004743
About Security Health Plan
Security Health Plan serves more than 225,000 people in a 40-county area in northern, western and central Wisconsin. We offer a variety of health insurance options for employer groups, individuals of all ages, and families of various income levels.