www.acad.jobs : academic jobs worldwide – and the best jobs in industry
                
     
Position: Pricing Actuary - Pharmacy
Institution: Geisinger Health
Location: United States
Duties: Performs the pricing of products, including but not limited to building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing; Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation; Supports the development of claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions; Guides the forecasting, analytic, underwriting, and performance monitoring functions; This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks
Requirements: Bachelor's Degree; Minimum of 5 years-Related work experience; Member of Society of Actuaries - Society of Actuaries; Skills in Insurance Finance And Actuarial Concepts; Probability; Insurance Industry; Actuarial Function; Financial Mathematics; Statistics And Actuarial Modeling
   
Text: Skip to main content Need help? Call 877-564-6447 Login Current Employees Saved jobs0 There are no jobs saved Who We Are Working Here Working here Diversity Veterans Benefits Career Development Career development Candidate resources Hiring policies Physicians Physicians Homepage About Geisinger Lifestyle Working Here Connect With Us Accolades Physicians & Leadership Psychiatry Hospital Medicine Community Medicine Emergency Medicine Nursing Nursing Homepage Why nursing at Geisinger Experienced RNs & LPNs Recently graduated RNs Nursing students Nursing support Advanced practice Locations Events A place that gives you opportunity and takes your breath away. Only at Geisinger. Search Open Career Opportunities Keyword Search City, State, or ZIP Search radius Search jobs Only at Geisinger. Search Open Career Opportunities Keyword Search City, State, or ZIP Search radius Search jobs Pricing Actuary - Pharmacy (work from home United States) Apply Save Job Title Pricing Actuary - Pharmacy (work from home United States) Location Work from Home Job Category Actuarial Services & Underwriting Schedule Days Work Type Full time Department GHP Actuarial Services Division Date posted 08/12/2021 Job ID R-10629 Job Summary Supports the daily operations associated with the Health Plan’s Actuarial Department. Assists in the development of rate filings, trend analysis, revenue strategy, forecasting, reserving, data management and analytics. Monitors the impact of strategic initiatives, regulatory reforms and legislation, and communicates effectively with peers and leadership Job Duties Experienced actuary needed to manage the actuarial and underwriting functions for the Commercial employer group pharmacy product line including:Pricing and analysisModeling and underwritingOptimization of formularyRebate and 340B analysisPerforms the pricing of products, including but not limited to building sound pricing models and tools, working with internal staff to arrive at sound products and strategies, and working with regulatory authorities to get approval of products and pricing.Serves as subject matter expert for regulatory reform and legislative changes, while quantifying impact of change, and identifying potential risks to successful implementation.Supports the development of claim and premium deficiency reserves while working with auditors to arrive at mutually acceptable conclusions.Guides the forecasting, analytic, underwriting, and performance monitoring functions.This includes trend development, monitoring financial performance relative to budget/pricing, evaluating provider, vendor, and reinsurance agreements, and studying performance relative to external benchmarks.Supports data management by providing direction and oversight to IT teams for appropriate data aggregation, partitioning, and extract rules to meet analytic and reporting needs.Provides guidance and support to upcoming actuarial talent.Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Position Details *Will consider both Associate and Fellow Actuaries with pharmacy pricing experience. Education Bachelor's Degree- (Required) Experience Minimum of 5 years-Related work experience (Required) Certification(s) and License(s) Member of Society of Actuaries - Society of Actuaries Skills Insurance Finance And Actuarial Concepts; Probability; Insurance Industry; Actuarial Function; Financial Mathematics; Statistics And Actuarial Modeling Our Purpose & Values Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. About Geisinger Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes nine hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter. Apply Save Explore this location Share this job Email LinkedIn Twitter Facebook More Google+ Tumblr Use your LinkedIn profile to find the right jobs matched for you. Job Matching Recently viewed jobs No previously viewed jobs Related jobs Licensed Practical Nurse - Women's Health R-23664 Scranton, Pennsylvania 11/24/2021 Administrative Assistant- General Survery R-23489 Danville, Pennsylvania 11/24/2021 Boiler Operator R-23616 Danville, Pennsylvania 11/24/2021 Pharmacy Technician I USW R-23445 Lewistown, Pennsylvania 11/24/2021 View All of Our Available Opportunities “I’ve been surprised by the community our floor has even though we can all work different days and different shifts. We celebrate successes and life events for employees and patients — that’s what makes it a fun place to work!” Jillian Schaeffer Nurse Assistant Best employer for healthy lifestyles - National Business Group 00Access to 121 state parks Best employer for healthy lifestyles* A place where you can lead a healthy lifestyle and follow your dreams. Access to 121 state parks Only at Geisinger. Sign up for job alerts Sign up below to receive new job opportunities that match your preferences. First nameLast nameEmail addressInterested InSelect locations and/or categories of interest below and click "Add".Job CategoryPreferred work locationAddActuarial Services & Underwriting, Danville, Pennsylvania, United StatesRemoveRemoveUpload resumeBy uploading your resume, you are not submitting an application for employment.Remove Confirm Email Sign up Related Content See our new minimum pay rate Who we are Our locations About About Geisinger News & Media Careers Connect Contact Us Make a Gift Volunteer Health & Wellness Explore Patient Care Health Plan Education Research Select Account Terms & Conditions HIPAA Privacy Policy Non-Discrimination Notice Social Media Guidelines Corporate Compliance Reporting Report Fraud Employee Login Geisinger Store Sitemap Geisinger Health Plan may refer collectively to Geisinger Health Plan, Geisinger Quality Options Inc., and Geisinger Indemnity Insurance Company, unless otherwise noted. Geisinger Gold Medicare Advantage HMO, PPO, and HMO SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare contract. Continued enrollment in Geisinger Gold depends on annual contract renewal.
Please click here, if the job didn't load correctly.







Please wait. You are being redirected to the job in 3 seconds.