HealthPartners is hiring a Director of Actuary and Underwriting. This role is responsible for:

• Managing the design and development of methods for extracting data for actuarial reporting and analysis, underwriting applications, and regulatory reporting
• Operations of the Actuarial & Underwriting team including self-insured billing, discount analysis and UDS support, legal data requests, and overseeing the production and analysis of standard and customized reports and data for employer groups, and 
• Reinsurance - requires an in-depth understanding of the organizations’ data and systems along with in depth knowledge of the business of health care insurance (both government programs and commercial).  Hire, train, and coach a staff of programmers and data analysts with a high level of technical skills.    

MINIMUM QUALIFICATIONS:  

• Education, Experience or Equivalent Combination: 
• Bachelor’s degree in Business Administration, Mathematics, Statistics, Management Information Systems, Computer Science or related field. 
• Ten years’ managed care experience with direct experience in employer reporting, reinsurance, informatics, statistics or related experience.  
• Eight years’ previous management experience.  
• Prior experience in the development and implementation of complete data sets and interpretation methods to produce actionable information. 
• Thorough knowledge of current healthcare business, insurance risk management, software technology, database, query languages, and end-user software. 

 Knowledge, Skills, and Abilities: 

• Excellent analytical and problem-solving skills. 
• Excellent oral and written communication skills. 
• Excellent organizational skills and detail oriented. 
• Strong computer skills and programming skills including Microsoft or related applications (Word/Excel) and programming experience.  
• Excellent interpersonal skills. 
• Excellent presentation skills.  

PREFERRED QUALIFICATIONS:  

• Education, Experience or Equivalent Combination: 
• Experience with data operations and data science.   

Knowledge, Skills, and Abilities: 

• Relevant health plan or health insurance experience. Experience with actuarial science and/or health underwriting. 
• Master’s degree in Business or experience in Actuarial Science, Accounting, Statistics, Information Technology or related field. 
• Experience in MS Azure/Cloud data source. 
• Advanced data modeling and AI.   

ESSENTIAL DUTIES:   

• (30%) – Team leadership, management and development of human capital.  
• (30%) – Project management of major team deliverables. This includes standard cadence deliverables as well as support for major implementations of data assets, technology and process changes. Data assets supporting Actuarial and Underwriting processes must be built in compliance with related Actuarial Standards of Practice. 
• (20%) – Decision making regarding insurance risk situations such as stop loss management and billing, data and reporting releases to brokers and client groups, etc.  
• (20%) – Collaborate closely with Data Ops, Informatics, Sales & Account Management, Operations Areas, Legal, Compliance, etc.     

LEADERSHIP RESPONSIBILITY:  

This role leads various teams that support key rating and analysis functions within Actuarial and Underwriting.  These teams are:  

• Data and Programming Team – This team builds and maintains data assets used by various Actuarial and Underwriting teams that conduct rating and analysis work. These data assets must be built to be compliant with various Actuarial Standards of Practice at the direction and requirements of the Actuarial Leadership Team and the Underwriting Leadership Team. This work includes periodic reconciliation and accuracy validation.  
• Underwriting Support Team – This team is responsible for a wide variety of rating and risk analysis support function including UDS data submissions, claims repricing and discount analysis.  
• Self-Insured Billing System Team – This team is responsible for stop loss accounting and all other billing and claim reconciliation support functions for self-insured group billing/invoicing.   

Besides the management of the above teams, this role will be part of the leadership required for all major related process reengineering efforts and technology implementations that are used by Actuarial and Underwriting.  

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.