Job Title:

Government Programs Actuary

Number of Positions:

1

Location:

Detroit, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community. 

Position Description:

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.

 

Minimum 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.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.