Health Actuary - Centurion at Momentum Metropolitan Holdings Limited

Requirements

• Matric
• Bachelor's Degree in Actuarial Science
• Qualified or nearly Actuary
• MS SQL programming skills
• 2 –; 3 year's post actuarial qualification experience
• 2 –; 3 years' experience in managed care, health risk management health; Service/ product pricing or scheme benefit design
• 2 - 3 years' experience in the South African Medical Scheme industry.
• Experience in working with MS Word, MS Excel (Macro Level) and MS Access

Duties & Responsibilities

• Actuarial Analysis, Modelling and Reporting.
• Oversee and review the following as delivered by the team of actuarial analyst, and present to clients.
• Collect data from relevant sources and perform actuarial analysis as required.
• Conducting risk data analysis, and direct clinical risk management strategies.
• Risk management reporting and health informatics.
• Benefit design, product pricing and predictive modelling.
• Provide the necessary input towards improvement of existing models and processes.
• IBNR calculation and reporting.
• Support for tariff negotiations, including development of models to assess impacts tariff increases.
• Demonstrate a basic understanding of the regulatory and commercial framework in which he or she operates.
• Communicate actuarial modelling, analyses and investigations to relevant stakeholders clearly and concisely.
• Enable client centricity within area of responsibility.