This is a hybrid position, both in-office and remote.
Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.
We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant communities for all. We devote our time, talents and financial resources to improve oral and overall health, and we invest in initiatives that support youth, education, workforce and economic development.
We are a force for good-part of the reason why employees find working at Delta Dental fulfilling. Delta Dental companies nationwide comprise the Delta Dental Plans Association, which provides coverage to more than 83 million Americans and operates two of the nation's largest networks of participating dentists. For more, visit www.deltadentalmi.com and www.vibrantcommunities.com, and apply online at www.deltadentalmi.com/careers.
Job Summary:
Analyzes dental Medicare and Medicaid experience to develop, implement and perform actuarial and statistical functions related to forecasting, reserving, fee development, regulatory requirements, and financial reporting.
Primary Job Responsibilities:
- Utilizes SQL to extract data and conduct comprehensive analysis ranging from client-specific to global (book of business) using experience from the largest, most complex datasets.
- Develops self-service tools and dashboards for improved data accessibility and decision-making.
- Conducts analysis, pricing, and risk management to estimate financial outcomes using actuarial modeling techniques.
- Plans, directs, and manages Medicare and Medicaid product pricing.
- Provides guidance on actuarial reporting and prepares and presents documents supporting analysis to internal and external stakeholders.
- Provides leadership and direction to fellow actuarial team members through the peer review process and monitoring of performance.
- Evaluates, monitors and reports actuarial operating performance, communicating to management and employees.
- Maintains pricing responsive to market trends and actively engages product management to keep products positioned in the market.
- Evaluates and recommends processes in product management to improve quality and efficiency of business.
- Prepares and presents to carrier partners on experience results, market trends, new product features, and on other topics related to pricing and product development.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Requirements:
Position requires a bachelor's degree in actuarial science, mathematics, statistics, or economics and seven years of actuarial experience in a healthcare or dental insurance environment and membership in the American Academy of Actuaries (MAAA) and Fellowship in the Society of Actuaries (FSA). Previous experience with statistical software such as R, SAS, or Python is preferred. Will accept any suitable combination of education, training, or experience.
Position requires advanced knowledge of actuarial and risk management processes and a complete understanding of factors that influence insurance profitability; intermediate level skills with Microsoft Office applications and BI tools; advanced analytical skills; the ability to present on behalf of the organization, both internally and externally; and the ability to resolve complex problems and use independent judgment.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.