job description - Health Actuary
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.
Report
About the company
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Momentum Metropolitan Holdings is listed on the Johannesburg Stock Exchange, as a South African-based financial service provider.