Director of Actuarial Services

Company: Duffy Group, Inc
Location: Cheyenne
Posted on: February 25, 2021

Job Description:

Under general guidance from the VP/CIO, directs all activities associated with analyzing risks associated with BCBSWY products and determining appropriate cost models to ensure profitable and competitive rates. Provides operational supervision to all staff of the Actuary function, and coordinates efforts with Underwriting, Reimbursement, and Reporting/ Information functions. Encourages the development of intradepartmental working relationships to foster teamwork and success in meeting corporate goals. Responsibilities: * Directs the development of Actuarial Services projects and ensures accurate and timely completion according to State and Federal Law and department standards. * Actively participates in more advanced Actuarial Services projects, serving as the subject matter expert and employing skills, practices and personal competencies developed over time. * Directs the development and on-going maintenance of vendor relationships personally or through subordinate staff. * Arrange and conduct meetings, as necessary, with management of the Underwriting and Reimbursement areas as well as other departments (e.g. Finance, Provider Relations), to ensure timeliness of analysis, modeling, documentation and reporting, accuracy, workload monitoring and adequate staffing levels are present. * Collaborates with Underwriting, Reimbursement and Reporting/Information services to ensure efficient and effective management of corporate information systems activities. * Ensures the timely and thorough maintenance of rating formulae and factors to ensure proper balance between corporate enrollment and profitability goals. * Monitor supervisory staff activities to ensure consistent application of department procedures and company policy. * Monitor departmental workloads to determine short- and long-term staffing requirements necessary for optimal completion of department and organizational goals and objectives. * Determine training requirements, and ensure those requirements are accomplished, for Actuarial Services staff. * Works towards quality initiatives. * Attend leadership meetings and other department/company meetings as necessary. * Other duties, responsibilities, and/or special projects as assigned. * Participate on Corporate teams as assigned.

Keywords: Duffy Group, Inc, Cheyenne , Director of Actuarial Services, Executive , Cheyenne, Wyoming