Director, Actuarial Services

LTHC

. Supervise staff in the routine operation of the Actuarial Services departments .

Posted 10/19/2026full-timeRochester • New York • United StatesLead💰 $137,857 - $248,143 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in actuarial analysis, financial forecasting, and budgeting within a healthcare environment, while effectively leading teams and managing departmental goals aligned with corporate objectives.

Highest-signal resume keywords

Actuarial ExperienceFinancial ForecastingLeadership SkillsSAS Software ProficiencyAdvanced Analytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Actuarial AnalysisFinancial BudgetingTrend AnalysisData InterpretationProcess Improvement

Soft Skills

Strong Communication SkillsProject ManagementPeople ManagementHigh IntegrityInterpersonal Skills

Tools & Technologies

SAS SoftwareMicrosoft Office

Certifications & Qualifications

Fellow of the Society of ActuariesMember of the American Academy of Actuaries (MAAA)

Industry Keywords

Healthcare Cost AnalysisRisk ArrangementsFinancial SolvencyComplianceData Warehouse Integrity

About the role

Key responsibilities & impact

Supervise staff in the routine operation of the Actuarial Services departments
Lead healthcare cost trend and medical cost analysis
Lead financial forecasting and budgeting processes for the health plan
Develop actuarial and financial recommendations supporting pricing margins, corporate goals, new initiatives and financial solvency
Prepare and interpret data and related formulae
Build a quarterly trend and forecasting process with Health Care Network Management staff
Develop quarterly health plan financial forecasts and monthly analyses
Develop the health plan financial budget
Coordinate financial forecast and budget development for all lines of business
Develop dental reporting, small group pricing and rate filings
Forecast health plan margin strategy requirements
Develop and maintain trend models
Conduct trend analysis for pricing, forecasting and opportunity identification
Conduct monthly stop-loss reserve analysis and support
Develop seasonality analyses
Design, implement and maintain medical expense trend models through cross-functional collaboration
Ensure efficient use of SAS software in datasets and models
Develop and maintain SAS expertise in the department
Identify and manage departmental goals consistent with corporate objectives
Establish staff performance goals, guide learning and development plans, assess performance, and determine merit, promotional and recognition increases and awards
Ensure efficient department management and promote continual process improvement
Mentor and develop staff for leadership roles
Ensure consistent policies and procedures across regions
Represent the department on special projects
Identify emerging issues affecting corporate, divisional or departmental goals
Notify Information Management of Data Warehouse integrity issues
Prepare and maintain documentation for routine procedures and special projects
Maintain compliance with privacy, legislative, regulatory and corporate requirements
Conduct periodic staff meetings and distribute departmental and Ethics/Compliance information
Maintain regular and reliable attendance
Perform other functions as assigned by management

Requirements

What you’ll need

Bachelor’s degree in Actuarial Science, Mathematics, Statistics or related field
Eight years actuarial experience in a healthcare environment
Professional designations of Fellow of the Society of Actuaries and Member of the American Academy of Actuaries (MAAA) preferred
Minimum three years of experience in leadership role
Minimum of five years of experience in leadership role preferred
Advanced analytical skills
Advanced knowledge of financial and risk arrangements
Strong PC skills and proficiency in Microsoft Office
Strong verbal and written communication skills
Strong project and people management skills
Strong leadership skills
Ability to translate technical concepts into business language
Ability to design and implement process improvements
High integrity and interpersonal skills
High sense of urgency and accountability
High degree of independence, creativity and initiative
Level II requires minimum of ten years of actuarial experience

Benefits

Comp & perks

Group health and/or dental insurance
Retirement plan
Wellness program
Paid time away from work
Paid holidays
Potential remote work on a case-by-case basis