Actuarial Manager - Remote

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS’ Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce—both current and future—to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

From 2021 to 2023, WPS Health Solutions was recognized for several awards:

• Madison, Wisconsin’s Top Workplaces
• USA Top Workplaces and the cultural excellence awards for Remote Work and Work-Life Flexibility
• Achievers 50 Most Engaged Workplaces® with the further honor of Achievers “Elite 8” winner in the category of Culture Alignment
• DAV Patriot Employer
• VETS Indexes 4 Star Employer
• BBB Torch Award for Ethics from Better Business Bureau of Wisconsin

Role Snapshot

We are seeking a talented Actuarial Manager to work in our WPS Health Insurance business line. This position will play a critical role in ensuring the financial health and competitiveness of our products. In this leadership position, you will leverage your actuarial expertise to directly impact our financial performance, product offerings, and long-term strategy. In this role, you will:

• Lead and mentor a team of 4 Actuarial Analysts, fostering a collaborative and high-performing work environment. This includes providing coaching, reviewing, and overseeing work for accuracy and timeliness, and creating opportunities for professional growth.
• Prepare budgets for year-end forecasts and ensuring forecasts are accurate.
• Oversee and report on the financial results of various WPS health insurance products and reporting this information to executive level leadership.
• Analyze data and trends to understand factors impacting future revenue and claims costs.
• Recommend and implement rate adjustments, administrative changes, or other risk management strategies to achieve financial projections.
• Monitor and manage the overall financial performance of all WPS health insurance products.
• Review, recommend and approve rate changes for insurance products, corporate reserves, and financial reports.
• Evaluate the impact of new health insurance laws and regulations on WPS products to determine financial impact on WPS Health Insurance products.

How do I know this opportunity is right for me? If you:

• Are interested in working for a smaller insurance company where you will have an opportunity to work with pricing, reserving, group, ACA and Medicare Supplement products.
• Excel in a smaller environment where all hands are on deck and are motivated to learn and expand your knowledge.
• Are a strong leader that has a proven history of successfully leading and developing teams/programs.
• Have experience working with providers to develop creative reimbursement arrangements OR have an interest in doing this.
• Possess strong data analytics experience including predictive modeling and risk scoring models.
• Hold ACA knowledge directly related to risk adjustment or have an interest in learning risk adjustment operations.
• Are process improvement minded and continually seek out new and creative ways to approach challenges.

What will I gain from this role?

• Experience launching new health insurance products to the market
• Access and collaboration with senior leadership and our executive leadership team
• Experience developing strategies for growth and profitability
• Being part of a forward-thinking Health Insurance company that embraces change
• Working in an environment that serves our Nation’s military, veterans, Guard and Reserves along with their families
• Working in a continuous performance feedback environment

Minimum Qualifications

• Bachelor's Degree in related field or equivalent post high school and/or related work experience
• 3 or more years of related work and/or leadership experience

Preferred Qualifications

• Bachelor’s degree specifically in Actuarial Science, Mathematics, Risk Management, or Statistics
• 5 or more years of related experience, including 3 or more years of experience in the health insurance industry
• 2 or more years staff supervision with direct program responsibility
• Associate of the Society of Actuaries designation
• Experience in pricing, provider financial economics, reserving, Part D, ACA individual or small group, Medicare Supplement, and stop loss
• Experience quoting large groups and working with ASO groups

Remote Work Requirements

• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
• Please review Remote Worker FAQs for additional information

Travel

• Minimal (less than 5%) travel to our corporate office in Madison, Wisconsin management meetings.

Salary Range

$120,000 to $160,000

The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location

We are a remote-first organization and offer remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

Benefits

• Remote work option available
• Performance bonus and/or merit increase opportunities
• 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Employee Resource Groups
• Professional and Leadership Development Programs
• Review additional benefits here

Sign up for Job Alerts

FOLLOW US!

Instagram

LinkedIn

Facebook

WPS Health Blog

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)