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Maxicare Healthcare Corporation

Actuarial Supervisor

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<p class="MsoNormal"><b><span style="font-family:Arial;font-size:11pt;">POSITION TITLE: ACTUARIAL SUPERVISOR</span></b></p><p class="MsoNormal"><b><span style="font-family:Arial;font-size:11pt;">Business Unit: Product Pricing - Consumer Pricing Unit</span></b></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">Level: Officer</span></i></b></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">Reporting Line: Actuarial Supervisor</span></i></b></p><p class="MsoNormal"><b><span style="font-family:Arial;font-size:11pt;">Position Accountability Statement:</span></b><b><span style="font-family:Arial;font-size:11pt;"></span></b></p><p><b></b></p><b></b><p class="MsoNormal" align="justify" style="text-align:justify;"><span style="font-family:Arial;font-size:11pt;">Accountable for overseeing the deliverables and training of Actuarial Analyst, pricing of new products, preparation and analysis of Medical Utilization Cost (MUC) for products within the target date.</span></p><p class="MsoNormal" align="justify" style="text-align:justify;"><b><i><span style="font-family:Arial;font-size:11pt;"><br /></span></i></b></p><p class="MsoNormal" align="justify" style="text-align:justify;"><b><i><span style="font-family:Arial;font-size:11pt;">Job Description</span></i></b></p><p align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">A. </span><span style="font-family:Arial;font-size:11pt;">Supervise Actuarial Analyst</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Symbol;font-size:11pt;">· </span><span style="font-family:Arial;font-size:11pt;">Reviews the reports and deliverables prepared by the Actuarial Analyst</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Symbol;font-size:11pt;">· </span><span style="font-family:Arial;font-size:11pt;">Responsible for onboarding of new Actuarial Analyst</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Symbol;font-size:11pt;">· </span><span style="font-family:Arial;font-size:11pt;">Tracks performance and quality of work of Actuarial Analyst</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Symbol;font-size:11pt;">· </span><span style="font-family:Arial;font-size:11pt;">Provide support for the resolution of escalations</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">B. </span><span style="font-family:Arial;font-size:11pt;">Gathering, validating, and analyzing the following data that can be accessed from Maxicare system sources:</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Utilization</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Masterlist</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Total Contract Value</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">LOA Issuance</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">C. </span><span style="font-family:Arial;font-size:11pt;">Pricing of New Products</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Responsible for pricing of new products</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Provides recommendations and endorses the pricing to Superiors for validation and approval</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Communicates the results to the concerned departments</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">D. </span><span style="font-family:Arial;font-size:11pt;">Repricing/ Renewal Review of Existing Products</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Reviews and Analyzes the experience of Existing products</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Provides renewal recommendations and endorses the result to Superiors for validation and approval</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Communicates the results to the concerned departments</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">E. </span><span style="font-family:Arial;font-size:11pt;">Preparing required documents for regulatory compliance</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">F. </span><span style="font-family:Arial;font-size:11pt;">Reviewing, analyzing, computing and processing other requests such as:</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Special Accommodations for accounts</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Recovery accounts</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Ad Hoc, Special Projects, and other related functions that may be assigned by the Immediate Superior.</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">G. </span><span style="font-family:Arial;font-size:11pt;">Monitoring of Consumer Products</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Maintains and organizes pricing/quotation files and other documentations</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:72pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Handles the monitoring of assigned New and Existing Products regularly</span></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">STANDARD RESPONSIBILITY STATEMENTS</span></i></b></p><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Strives to embody, commits to support, and deliver the quality policy, objectives and initiatives of the organization;</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Communicates, engages, directs, and supports people to contribute to the Governance and Resilience effectiveness;</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Abides by the Governance and Resilience policies and procedures for the effective management and control of its processes; and</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Promotes and utilizes the Process Approach and Risk-based Thinking at work.</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;"></span></i></b></p><p><b><i></i></b></p><b><i></i></b><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">EDUCATIONAL REQUIREMENT</span></i></b><b><i><span style="font-family:Arial;font-size:11pt;"></span></i></b></p><p><b><i></i></b></p><b><i></i></b><p class="MsoNormal" style="margin-left:36pt;text-indent:-18pt;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Preferably BS Mathematics, BS Statistics, BS Actuarial Science, BS Applied Mathematics, BS Economics, BS Computer Science, BS Data Analytics, BS Artificial Intelligence, or BS Electronics and Communication Engineering</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" style="margin-left:36pt;"><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal"><span style="font-family:Arial;font-size:11pt;"> </span></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">EXPERIENCE AND TRAINING</span></i></b><b><i><span style="font-family:Arial;font-size:11pt;"></span></i></b></p><p><b><i></i></b></p><b><i></i></b><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">At least 2–4 years of actuarial experience in health, life, or general insurance.</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal"><br /></p><p class="MsoNormal"><b><i><span style="font-family:Arial;font-size:11pt;">SKILLS REQUIREMENT</span></i></b></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Knowledge in Google Applications (e.g. Gmail, Sheets, Slides, Docs, Google Studio, etc)</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p><p class="MsoNormal" align="justify" style="margin-left:36pt;text-indent:-18pt;text-align:justify;"><span style="font-family:Arial;font-size:11pt;">● </span><span style="font-family:Arial;font-size:11pt;">Knowledge in MS Excel is required</span><span style="font-family:Arial;font-size:11pt;"></span></p><p></p>

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