St. Luke’s Health Partners (Health Partners) is a wholly owned subsidiary of St. Luke’s Health System, and a financially and clinically integrated network of providers improving the health outcomes of the population and lowering the cost of care through value-based care strategies. We foster a collaborative and innovative work environment that values cross-functional teamwork, data-driven decision-making, and a healthy work-life balance.

The Health Partner's Actuary is a crucial strategic partner in advancing the organization's financial and clinical goals by evaluating financial risk, forecasting cost and utilization trends, and providing actuarial leadership to guide pricing, reimbursement strategy, and performance optimization across all lines of business – Medicare, Medicare Advantage, Exchange, and Commercial. The ideal candidate will possess strong analytical acumen, a deep understanding of healthcare data, and the ability to translate complex actuarial insights into actionable strategies for Health Partners leadership and key stakeholders.

What you can expect:

• Develops and maintains analyses to inform business decisions to meet market and financial goals.
• Evaluates industry, economic, and financial trends to forecast the organization’s competitive position.
• Ensures products are appropriately priced, financial positions are appropriately stated and projected, and ensures leaders and key stakeholders are appropriately informed to make strategic decisions.
• Models and informs on premium or target rating structures for new and existing products.
• Analyzes and develops financial statement reserves and other liabilities, including IBNR (incurred but not reported), risk settlements, incentive and risk-share payments, and reinsurance claims.
• Make recommendations based on the analysis of information regarding methods to reduce costs.
• Provides strategic and financial advice in the contracting process, utilizing actuarial models, analyzing healthcare cost and utilization data, and completing actuarial calculations.
• Develops, analyzes, and reports on facility, physician, and other provider reimbursement structures.
• Makes recommendations based on the analysis of information regarding methods to reduce costs through benefit design modifications.
• Supports ad hoc analyses to support data-driven insights to answer specific business needs that arise from Health Partners leadership and other stakeholders.
• Communicates regularly with financial directors and internal/external stakeholders at all levels.
• Possesses a comprehensive working knowledge of the subject matter and provides subject matter expertise.

Qualifications:

• Bachelor's Degree
• 4 years of relevant experience
• Associate of the American Society of Actuaries (ASA) or Fellow of the American Society of Actuaries (FSA)

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.