Senior Financial Actuary

MERCY HEALTH CORPORATION • Janesville, WI • 9h ago

JOB REQUIREMENTS: OVERVIEW The Senior Financial Actuary is responsible
for performing actuarial analyses related to health insurance financial
reporting, claim and premium reserving, financial data reconciliation
and forecasting. This position works closely with Actuarial, Finance,
Claims, Underwriting, IT/Reporting and other business areas to ensure
the accuracy, completeness, and timeliness of actuarial information used
for financial reporting, reserving and business decision-making. The
position requires strong business, analytical and technical skills,
attention to detail, and the ability to work with complex health
insurance financial and claims data. The Senior Financial Actuary is
expected to independently perform assigned analyses and contribute to
the development and improvement of actuarial processes, models,
controls, and reporting. The Senior Financial Actuary will advise on
strengths and weaknesses by line of business along with potential risks
associated with each. Schedule: 32 hours per week Shift: Monday to
Friday Day Shifts ESSENTIAL DUTIES AND RESPONSIBILITIES Financial Data
Retrieval and Reconciliation Extracts information from the data
warehouse and other data sources with an emphasis on efficiency
Reconciles actuarial data and calculations to the general ledger,
financial statements, claims systems, premium systems, membership
systems, risk adjustment data, and other source systems. Maintains
reconciliation data and documentation. Performs data validation and
reasonableness checks before information is used for reserving or
financial reporting Investigates and resolves any significant financial
data differences discovered Assists in improving data flows,
reconciliation processes, and reporting automation Supports internal and
external financial and actuarial audits Supports the periodic
reconciliation of MercyCare Planalytics reports Other duties as assigned
Financial Reserving Prepares and analyzes monthly, quarterly, and annual
health insurance claim reserves, including incurred but not reported
(IBNR) and other unpaid claim liabilities, using appropriate actuarial
methodologies and assumptions. Prepares reserve estimates for different
lines of business and different markets as appropriate. Prepares premium
deficiency, risk adjustment, reinsurance, and other actuarial
liabilities or financial estimates as applicable Analyzes reserve
adequacy and identifies emerging claim trends or other factors that may
affect future financial results Performs actual-to-expected analyses and
explains changes in reserve estimates from prior periods Performs annual
maintenance of risk adjustment scoring algorithm and monthly updates of
MercyCare risk scores to support reserving and risk adjustment analyses
Advises management on significant changes in reserve estimates... For
full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an
equal employment opportunity employer functioning under Affirmative
Action Plans. *** APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/8F248417FFA943EF

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