at WPS Health Solutions in Marion, Illinois, United States
Job Description
Description
Who We Are
is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than . Proud to be military and veteran ready.
Culture Drives Our Success
WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
From 2021 to 2023, WPS Health Solutions was recognized for several awards:
Role Snapshot
We are seeking a talented Actuarial Manager to work in our WPS Health Insurance business line. This position will play a critical role in ensuring the financial health and competitiveness of our products. In this leadership position, you will leverage your actuarial expertise to directly impact our financial performance, product offerings, and long-term strategy. In this role, you will:
Lead and mentor a team of 4 Actuarial Analysts, fostering a collaborative and high-performing work environment. This includes providing coaching, reviewing, and overseeing work for accuracy and timeliness, and creating opportunities for professional growth.
Prepare budgets for year-end forecasts and ensuring forecasts are accurate.
Oversee and report on the financial results of various WPS health insurance products and reporting this information to executive level leadership.
Analyze data and trends to understand factors impacting future revenue and claims costs.
Recommend and implement rate adjustments, administrative changes, or other risk management strategies to achieve financial projections.
Monitor and manage the overall financial performance of all WPS health insurance products.
Review, recommend and approve rate changes for insurance products, corporate reserves, and financial reports.
Evaluate the impact of new health insurance laws and regulations on WPS products to determine financial impact on WPS Health Insurance products.
How do I know this opportunity is right for me? If you:
Are interested in working for a smaller insurance company where you will have an opportunity to work with pricing, reserving, group, ACA and Medicare Supplement products.
Excel in a smaller environment where all hands are on deck and are motivated to learn and expand your knowledge.
Are a strong leader that has a proven history of successfully leading and developing teams/programs.
Have experience working with providers to develop creative reimbursement arrangements OR have an interest in doing this.
Possess strong data analytics experience including predictive modeling and risk scoring models.
Hold ACA knowledge directly related to risk adjustment or have an interest in learning risk adjustment operations.
Are process improvement minded and continually seek out new and creative ways to approach challenges.
What will I gain from this role?
Experience launching new health insurance products to the market
Access and collaboration with senior leadership and our executive leadership team
Experience developing strategies for growth and profitability
Being part of a forward-thinking Health Insurance company that embraces change
Working in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families
Working in a continuous performance feedback environment
Minimum Qualifications
Bachelor's Degree in related field or equivalent post high school and/or related work experience
3 or more years of related work and/or leadership experience
Preferred Qualifications
Bachelor's degree specifically in Actuarial Science, Mathematics, Risk Management, or Statistics
5 or more years of related experience, including 3 or more years of experience in the health insurance industry
2 or more years staff supervision with direct program responsibility
Associate of the Society of Actuaries designation
Experience in pricing, provider financial economics, reserving, Part D, ACA individual or small group, Medicare Supplement, and... For full info follow application link.
Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer.
