Actuary IV

Overview

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration – because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Analyze and evaluate the likelihood of future events in order to reduce and manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools. Perform rate level pricing functions and prepare monitoring reports on program or product pricing. Measure historical relationships to develop forecasts and identify trends. Performs other duties as assigned.

• Actuarial Analysis & Modeling
  • Conduct advanced actuarial analysis, valuations, cost estimates, and forecasting using statistical programming tools and complex datasets
  • Develop, maintain, and enhance actuarial models to support pricing strategies, financial projections, risk assessments, and trend identification
  • Evaluate historical experience to determine key drivers of performance and produce credible, data‑driven forecasts
• Pricing & Financial Support
  • Perform advanced rate‑level pricing functions and support the development of premium recommendations across products or programs
  • Prepare and interpret monitoring reports that assess pricing adequacy, utilization patterns, and cost trends
  • Provide analytical support for financial planning, budgeting, and other strategic initiatives
• Thought Leadership & Technical Guidance
  • Serve as a subject matter expert to peers and cross‑functional partners, offering guidance on actuarial methods, modeling techniques, and best practices
  • Lead components of complex projects with autonomy, including providing direction to junior staff to achieve unit and department goals
  • Develop and recommend enhanced approaches, methodologies, or tools to improve accuracy, efficiency, or process reliability
• Cross‑Functional Collaboration & Communication
  • Translate complex actuarial findings into clear, actionable insights for business partners, including Finance, Product, Network, and Executive teams
  • Present analytic conclusions and recommendations to leadership, influencing decisions related to pricing, risk mitigation, and product strategy
  • Collaborate with stakeholders to ensure alignment on assumptions, methodologies, and financial implications
• Compliance, Standards & Quality Assurance
  • Ensure all actuarial work complies with applicable regulatory requirements, Actuarial Standards of Practice (ASOPs), and internal governance expectations
  • Maintain thorough documentation of assumptions, methods, and outcomes for audit readiness and organizational transparency
  • Uphold high standards of accuracy and professional integrity to minimize risk exposure and ensure credible outcomes

• Bachelor's degree or equivalent experience in related field
• 7 years of work experience beyond degree

• FSA Achieved OR demonstrated performance over multiple years under the supervision of a qualified actuary

• Technical Expertise
  • Advanced proficiency in actuarial science, including modeling, forecasting, pricing, and statistical analysis
  • Strong working knowledge of actuarial software and data tools (e.g., Excel, SQL, SAS, R, Python) and ability to work with large, complex datasets
  • Demonstrated ability to design and refine actuarial models with minimal supervision
• Analytical & Problem‑Solving Skills
  • Ability to independently diagnose analytical issues, validate assumptions, and identify meaningful trends in data
  • Skill in developing innovative, data‑driven solutions to address emerging business needs
  • Strong judgment in selecting appropriate techniques and…