Ascension Health Senior Director and Actuary in Glendale, Wisconsin

Job ID: 254124

Senior Director and Actuary

Glendale, Wisconsin

Regular/Day

Additional Job Information

Title: Senior Director and Actuary

City, State: Glendale, WI

Location: AW Glendale Office

Department: Risk Management

Additional Job Details: FT, Days, Flexible Schedule between 7 AM - 6 PM Central Time, Mon - Fri

About Us

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension’s Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension’s own group purchasing organization.

Job Description

Job Summary:

The Senior Director and Actuary determines risk, makes pricing decisions and formulates employee benefits plans. This position will be responsible for support of our Medicare Advantage and MSSP Value Based Contract Analytics and Actuarial Analysis.

Responsibilities:

  • Develops pricing models using mathematical modeling techniques and statistical concepts to determine probability and assess risks.

  • Develops forecasts of expense and funding for employee plans.

  • Evaluates the effectiveness of financial management programs that seek to control and minimize risk.

  • Presents reports, explaining their implications to stakeholders, and advising on risk limitation.

  • Oversees contract model development to illustrate potential financial outcomes under value based program participation.

  • Provides insights to contracting team on contract terms that will allow for strong financial outcomes.

  • Subject Matter expert on Medicare Advantage plans and products and represents Ascension in discussions with health plans on potential joint venture agreements.

  • Subject Matter expert on Medicare ACO agreements and provide expert guidance and advice on appropriate levels of participation by Ministry Market.

  • Oversees and directs analysis on drivers of financial performance for Medicare Advantage and MSSP value based contract performance including risk adjustment and medical cost analysis.

  • Provides guidance on possible corrective actions to ensure high performance.

Qualifications

Licenses/Certifications/Registration:

  • Required Credential(s):

  • Certified Actuary Certification obtained prior to hire date or job transfer date.

  • Preferred Credential(s):

  • Fellow of the Society of Actuaries (FSA) and Member of the Academy of Actuaries (MAAA)

Education:

  • Bachelor's Level Degree preferably in Math, Economics, Actuarial Science or equivalent degree.

Work Experience:

  • At least ten years progressive experience of actuarial service lines including pension, savings, deferred compensation and health & welfare plans.

  • Demonstrated skill and experience in being able to understand applicable laws and regulations and apply them to practical situations.

  • 5 years of experience in pricing and product development of Medicare Advantage plans preferred.

  • Preferred experience with Medicare ACOs.

  • Experience managing a small team of highly skilled professionals preferred.

Equal Employment Opportunity

Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf ”

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E -Verify (link to E-verify site)