LogoFresh Jobs Ahead
Devoted Health
Devoted Health
1001 – 5000 Darbinieki
LabsajūtaVeselības apdrošināšanaVeselības aprūpe
Devoted Health ir veselības aprūpes un veselības apdrošināšanas uzņēmums, kas koncentrējas uz Medicare Advantage plāniem. Tā piedāvājums apvieno medicīnisko apdrošināšanu ar papildu priekšrocībām, piemēram, zobārstniecības aprūpi, redzes aprūpi, sporta zāles abonementiem un recepšu medikamentiem. Uzņēmums uzsver arī biedru atbalstu, palīdzot viņiem izprast savu apdrošināšanas segumu, pārvaldīt veselības aprūpes vajadzības un izmantot pieejamos pakalpojumus. Devoted Health darbība aptver veselības apdrošināšanu un labbūtību, koncentrējoties uz to, lai priekšrocību izmantošana būtu vienkāršāka un tiktu atbalstītas biedru veselības un finansiālās vajadzības.
LinkedIn
Vakances uzņēmumā

Senior Commercial Pricing Actuary – Devoted Health (Remote, U.S.)

Lead commercial health insurance pricing, rating models, underwriting strategy, and state rate filings at Devoted Health. Guide compliant, financially sound products through actuarial leadership and cross-functional partnership.

USAmerikas Savienotās Valstis
175 000 $ – 250 000 $ / gads
AttālinātiPilna slodzeVecākais speciālistsVadošais speciālistsNepieciešamā Valoda: angļuAktuārs
PythonSQL

Apraksts

  • Lead strategy, modeling, and financial execution for Commercial lines, including Group and Self-Funded/ASO business.
  • Develop and maintain scalable actuarial rating models and pricing engines for Commercial Large Group products.
  • Work with product, clinical, and market leaders to price competitive benefit packages.
  • Set, support, and document pricing assumptions for manual rates, age and gender factors, area factors, trend projections, administrative expenses, and margin targets.
  • Help shape group underwriting policies and risk selection strategies.
  • Oversee actuarial work for complex quotes, experience rating formulas, and credibility methods.
  • Develop and maintain pricing methods for ASO products, employer-specific fees, and stop-loss or reinsurance options.
  • Track group risk profiles, employer renewals, and adverse selection trends.
  • Lead preparation, documentation, and submission of annual and quarterly Commercial rate filings to state insurance departments and other regulators.
  • Act as the primary actuarial contact for regulators during rate reviews.
  • Address regulatory objections, actuarial questions, and public comments in support of rate approvals.
  • Oversee ACA pricing requirements, including HHS-HCC risk adjustment, MLR rebates, state rate caps, and the No Surprises Act.
  • Partner with Finance, Healthcare Economics, Sales and Distribution, Network Management, and Clinical Operations.
  • Present rate filing strategies, portfolio rate impacts, and margin projections to executives.

Prasības

  • At least 8 years of progressive experience in healthcare actuarial work.
  • At least 5 years focused on Commercial actuarial pricing, rating model development, and regulatory rate filings.
  • Experience building rating engines from the ground up or substantially upgrading pricing tools.
  • Proficiency in actuarial modeling and data work using SQL, Python, R, or SAS.
  • Direct experience managing the full Commercial rate filing lifecycle through SERFF.
  • Experience handling state regulatory rate reviews and obtaining approvals on schedule.
  • Hands-on experience partnering with underwriting teams or establishing their guidelines.
  • Experience with rating methods and portfolio performance tracking.
  • Track record of delivering complex, time-sensitive filings and pricing projects on schedule.
  • Strong interpersonal and cross-functional collaboration skills.
  • Ability to explain complex actuarial concepts as clear strategic choices for non-actuarial partners.
  • ASA or FSA and MAAA designations are valued but optional.
  • Experience working with reserving, value-based contracting, or medical economics functions.
  • Comfort working in a fast-paced, high-growth environment.
  • Formal degrees and certifications are not required; equivalent practical expertise and demonstrated results are accepted.

Priekšrocības

  • Employer-sponsored health, dental, and vision coverage with low or no premiums.
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for roles below Director level.
  • Commission eligibility for Sales roles.
  • Parental leave program.
  • 401(k) program.

Saistītās vakances

The Standard

Actuarial Developer II/III

The Standard
1001 – 5000 Darbinieki
Juridiskie pakalpojumiKonsultācijasVeselības aprūpe
USAmerikas Savienotās ValstisOROregona
137 000 $ – 200 750 $ / gads
AttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuAktuārs
AzureMākonisSDLCSQL

Develop Databricks and SQL solutions that support actuarial and financial analysis at The Standard. Turn actuarial models into automated software, with AI-enabled tools supporting development and documentation.

Atvērt
Omada Health

Principal Actuary, Healthcare ROI and Risk

Omada Health
201 – 500 Darbinieki
H1B vīzas sponsorsLabsajūtaVeselības apdrošināšanaVeselības aprūpe
USAmerikas Savienotās Valstis
198 400 $ – 285 200 $ / gads
AttālinātiPilna slodzeVadošais speciālistsNepieciešamā Valoda: angļuAktuārs
PythonSQL

Build healthcare ROI, pricing, and risk models for Omada Health’s virtual chronic care programs. Advise payers, employers, and internal teams on performance guarantees and value-based contracts.

Atvērt
Blue Cross Blue Shield of Arizona

Actuarial Analyst I, Pricing and Rate Filings — Arizona Remote

Blue Cross Blue Shield of Arizona
1001 – 5000 Darbinieki
H1B vīzas sponsorsKonsultācijasLoģistikaVeselības aprūpe
USAmerikas Savienotās ValstisAZArizonaAttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuAktuārs

Support health insurance pricing and forecasting through actuarial analysis and rate filings for Blue Cross Blue Shield of Arizona. Help assess product profitability, coverage affordability, and regulatory compliance.

Atvērt
The Standard

Actuarial Developer II, Reporting and Analytics — The Standard (Oregon Remote)

The Standard
1001 – 5000 Darbinieki
Juridiskie pakalpojumiKonsultācijasVeselības aprūpe
USAmerikas Savienotās ValstisOROregona
109 750 $ – 160 500 $ / gads
AttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuAktuārs
PythonSQL

Advance The Standard’s actuarial reporting and pricing technology as an Actuarial Developer II. Lead adoption of its Actuarial Technology Platform, build Databricks solutions, and apply AI tools to modernize analytics and legacy processes.

Atvērt