Sioux Falls, SD, 57117, USA
7 days ago
VP - Actuary
**Location:** Avera Health Plans **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Position Highlights** **To be considered for this position, you must apply only at** **https://wittkieffer.com/positions/201197** **, and you will not need to apply here on the Avera site.** Inquiries and nominations will be kept confidential and should be directed to WittKieffer consultants Tom Quinn, Lisa Mooney, and Eleanor Vogelsang via email at evogelsang@wittkieffer.com **You Belong at Avera** **Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.** **A Brief Overview** The Vice President of Actuary is the senior leader responsible for managing all actuarial services for Avera Health Plans. This leadership role oversees all product pricing, product performance, risk management, underwriting and corporate functions such as estimations, reinsurance, and financial planning & analyst (FP&A) support. The Vice President - Actuary is responsible for developing the strategy and explaining qualitative and quantitative data points to the executive committee. This role is integral to Avera Healths Plans profitability, pricing strategies, and overall financial health. The Vice President - Actuary will drive the actuarial transformation effort to redefine strategic pricing in conjunction with the business leaders, finance, and data organizations. This role will develop and execute strategies to drive sustainable growth, ensure regulatory compliance, and support data-driven decision-making that aligns with the health plan's goals and values. **What you will do** + Supervise and direct all actuarial activities, ensuring efficient and effective operations. + Develop and implement strategic actuarial plans aligned with the organization's goals and financial objectives. + Lead the development of pricing strategies for insurance products, considering market conditions and risk profiles. + Monitor financial risks and develop risk management strategies to mitigate potential losses. + Ensure compliance with all relevant insurance regulations and reporting requirements. + Oversee the calculation of reserves, claims trend analysis and other actuarial functions to support financial performance. + Communicate actuarial results and recommendations to management, other departments, and external stakeholders. + Act as a liaison with insurance regulators, external auditors, and the Board of Directors on actuarial matters. + Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems. **Essential Qualifications** The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Bachelor's in Actuarial Science, Mathematics, Finance, or related field. + Fellow of the Society of Actuaries (FSA) - Society of Actuaries (SOA) Upon Hire or + Associate of the Society of Actuaries (ASA) - Society of Actuaries (SOA) Upon Hire + 7-9 years Actuarial or risk management experience in the health insurance industry. + 4-6 years Leadership or management experience. + Strong analytical and problem-solving skills with the ability to interpret complex data. + Proficiency in actuarial software (e.g., SAS, R, Excel, or SQL) and risk modeling tools. + Excellent communication and presentation skills. + Deep understanding of health insurance regulations and industry trends. + Ability to lead cross-functional teams and manage multiple priorities effectively. **Preferred Education, License/Certification, or Work Experience:** + Master's in Actuarial Science, Mathematics, Finance, or related field. + Certification in Enterprise Risk Management (CERA) - American Society for Health Care Risk Management (ASHRM) **Expectations and Standards** + Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. + Promote Avera’s values of compassion, hospitality, and stewardship. + Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. + Maintain confidentiality. + Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. + Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need & Then Some** Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. + PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan + Up to 5% employer matching contribution for retirement + Career development guided by hands-on training and mentorship _Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to_ _talent@avera.org_ _._ At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
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