Actuary III

Job Summary

The Actuary III plays a pivotal role in driving financial accuracy, analytical rigor, and strategic insight across all lines of business (LOBs). This position is responsible for leading complex actuarial analyses and modeling efforts, ensuring the company’s financial reporting and rate development processes are robust, transparent, and aligned with organizational goals. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.

Duties

Assist in monthly financial reporting by preparing, reviewing, and validating actuarial inputs.

Perform data-intensive and complex actuarial analyses to inform business decisions and identify emerging trends.

Lead critical actuarial modeling projects across all LOBs, ensuring accuracy and innovation in methodologies.

Identify, design, and implement key actuarial reports that require routine updates to support ongoing business needs.

Train and mentor actuarial staff, fostering professional growth and ensuring consistency in actuarial practices.

Provide expert actuarial input into rate development, supporting competitive and financially sound pricing strategies.

Contribute to other actuarial and cross-functional projects as needed, offering analytical expertise and business acumen.

Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training and recommend process improvements as needed.

Perform other duties as needed.

Duties Continued

Education Required

Education Preferred

Experience

Required:

At least 7 years of experience in the Actuarial Department of a health insurance, Health Maintenance Organization (HMO), health plan, or government health company.

Skills

Required:

Advanced actuarial modeling skills with expertise in forecasting, risk adjustment, rate setting, and financial projection methodologies.

Ability to interpret large, complex data sets and translate findings into actionable insights for executive decision-making.

Skilled at developing and improving actuarial methodologies, models, and documentation to enhance accuracy, efficiency, and audit readiness.

Strong ability to translate complex actuarial concepts into clear, concise narratives for non-actuarial stakeholders.

Ability to manage multiple priorities in a fast-paced environment while ensuring accuracy and timeliness of deliverables.

Advanced analytical skills.

Advanced knowledge and skills in Excel.

Proficient in software and programming tools such as SQL, Python, R, and SAS.

Excellent verbal, written and interpersonal communication skills.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Additional Information