Avera Health Plans has retained WittKieffer to assist in their search for an inaugural Vice President of Actuary & Risk Management (VP). Avera Health Plans is a provider sponsored plan that is wholly owned by Avera Health, which is a successful, integrated health system based in Sioux Falls, SD. Providing services at 300 locations, Avera Health has the strongest brand in the region, a diverse provider network, and is located in a geography poised to grow.
Avera Health Plans is dedicated to helping the people and communities it serves by providing cost-effective, innovative health plans. With over $300M in premium revenue, Avera Health Plans provides coverage for a variety of customers including individuals, families, and employers. As part of the dedication to provide care and services to those in need, Avera Health Plans has participated in healthcare.gov since it began in 2014, after the passage of the Affordable Care Act (ACA).
The VP is the senior leader responsible for managing all actuarial services for Avera Health Plans. This leadership role oversees all product pricing, product performance, risk management, underwriting and corporate functions such as estimations, reinsurance, and financial planning & analyst (FP&A) support. The VP of Actuary is responsible for developing the strategy and explaining qualitative and quantitative data points to the executive committee.
Reporting to the SVP & Chief Financial Officer, this role is integral to Avera Healths Plans profitability, pricing strategies, and overall financial health. This executive will drive the actuarial transformation effort to redefine strategic pricing in conjunction with the business leaders, finance, and data organizations. This role will develop and execute strategies to drive sustainable growth, ensure regulatory compliance, and support data-driven decision-making that aligns with the health plan’s goals and values.
Actuarial or risk management experience gained in health insurance industry is desirable. A bachelor’s degree is required, while an advanced degree in Actuarial Science, Mathematics, or Finance is highly desirable. The ideal candidate will have seven to nine years of actuarial or risk management experience in the health insurance industry. They will also have at least four to six years of management experience.
Inquiries and nominations will be kept confidential and should be directed to WittKieffer consultants Tom Quinn, Lisa Mooney, and Eleanor Vogelsang via email at [email protected] or by clicking the buttons below.