ABOUT THE ROLE

The Actuarial Consultant will have a lead pricing role in Individual ACA Line of Business pricing, risk management, strategic decision making, and block management. The Actuarial Consultant will be responsible for a defined set of states and will be the company’s actuarial subject matter expert for those states. 

YOUR RESPONSIBILITIES

• Develop premiums and all actuarial components of the Individual ACA rate filings
• Candidate must have a complete understanding of Individual ACA rate development and experience developing sound premiums, populating the URRT, and creating URR memorandums
• Be qualified to co-sign their states’ experience rated filings
• Individual contributor and SME for their respective line of business/state, support strategy and plan design discussions, understand market dynamics and positioning, and under each state’s respective regulatory landscape
• Work in tandem with the Chief Actuary, Commercial ACA Director, and other managers to ensure company’s risk position is clearly communicated to key stakeholders
• Work with external consulting firm to develop manually rated filings and ad hoc analyses
• Manage your own project timelines and work of supporting staff, meet all deadlines, and produce high quality deliverables
• Ancillary projects, such as developing an internal pricing calculator, modeling provider contracts, leading ad hoc data analyses, and creating reporting packages for management
• Mentor junior members of the team’s staff
• Foster a culture of peer review, mentorship, and learning

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• A Bachelor’s degree required in Math, Statistics, Economics, Actuarial Science, or a related field is required
• Four (4) or more years of experience working with commercial ACA products is required
• Minimum of one (1) year experience with individual ACA rate filings is required
• Associate of the Society of Actuaries or greater required
• Meets or exceeds continuing educations requirements for SOA and the Academy to sign filings
• Understanding of healthcare claims data
• Prior experience managing others is preferred but not required

PROFESSIONAL COMPETENCIES

• Proficient in Microsoft Excel and other Office products
• Experience with forecasting, modeling, and SQL
• Expert level knowledge of healthcare pricing for ACA Individual products
• Self-starter with ability to manage projects with little to no direction. Sense of ownership and responsibility is required
• Strong communication skills and ability to meet with C-Suite leadership on pricing and plan related topics
• Project management skills and attention to detail

LICENSURES AND CERTIFICATIONS

• Associateship or greater in the Society of Actuaries or commensurate years of experience required.

ABOUT US

At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.

We’re Making Healthcare Right. Together. 

We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!