Lead Actuary

Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas. Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas. Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives. We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas. Position Summary We are seeking a Lead Actuary to join our team located in Austin, Texas. You will report to the CFO and will be responsible for supporting company strategy and managing actuarial expertise and tools in coordination with others to deliver key membership and financial results for Texicare. You should have expertise and proven success in various actuarial methodologies applicable to self-funding, level-funding, employer stop-loss, and fully insured products. You will interact directly and partner routinely with Product, Underwriting and Finance, as well as work in conjunction with third parties including: MGU, TPA, consultant actuaries and network partners. You will benefit from this experience by: Launching new Health Insurance products in the Texas market Playing a key role in building out our data analytics capabilities to help meet our business unit’s initiatives Gaining experience developing strategies for growth and profitability Being part of a forward-thinking, mission, and values driven Health Insurance carrier Working in a continuous performance feedback environment that will challenge you while allowing you to challenge others This hybrid position is based in Austin, TX. Preference will be given to Texas based candidates, but we are open to interviewing out-of-state candidates. Occasional travel within and outside Texas may be required based on the needs of the business. Periodic travel to company headquarters is expected. Essential Job Functions In this role, you will be responsible for: Monitoring: Claims trends and investigating aberrations On-going analysis and monitoring of utilization trends Analyzing data and communicating results in data visualizations, dashboards, and reports for a wide variety of audiences FP&A and Budgeting: Support Health Plan budgeting, forecasting, and strategic planning activities in partnership with the Enterprise Strategy and Corporate FP&A teams Analyze customer data to provide insights on overall performance, define targets for KPIs, and track progress against targets Pricing and Actuarial Oversight: Oversee pricing of multiple commercial health products. Seek out external resources to help understand macro drivers of trend. Direct the development of actuarial models, analyses, and projections to support product pricing, rate filings, network contracting including innovative value-based reimbursement strategies, and cost management Strategic Leadership: Develop and implement the organization’s actuarial strategy aligned with business objectives and regulatory requirements. Provide expert guidance to the executive team and board of directors on actuarial matters, including pricing, risk management, and financial planning Oversee the assessment and mitigation of financial and operational risks related to health insurance products and services. Provide actuarial insights to support enterprise risk management and business resilience initiatives Regulatory Compliance: Ensure compliance with all relevant regulations, including rate filings, solvency standards, and actuarial certifications Serve as a liaison with regulatory bodies and represent the organization during audits and reviews Leadership & Management Strong experience in team management, project oversight, and mentoring junior staff Promote diversity, equity, and inclusion within the team and across the organization, fostering a culture of innovation, collaboration, and professional growth To be successful in this role, you must have: A bachelor’s degree or any equivalent combination of education, training, and experience. At least 8 years of actuarial experience in a healthcare setting or any equivalent combination of education, training, and experience. Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA) preferred Exceptional ability to communicate (oral, written, presentation) complex actuarial concepts and engage with various stakeholders, including health plan partners, other leaders and board of directors Strong skills in collaborative working environment Self-starter with an innate desire to learn and the ability to thrive in a dynamic fast-paced start-up environment with competing priorities and deadlines with the strong backing of an established company Experience leading negotiations for multi-million-dollar contracts Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint Experience with Tableau, statistical analysis and predictive modeling in healthcare contexts Strong analytical, quantitative, problem-solving, and business skills to extract implicit, unstated, and unrecognized requirements Automatic 4% employer contribution to retirement plan 401k plan with 100% match up to 6% Flexible time off for vacation, illness, etc. Nine paid holidays Day one health, Rx, vision, and dental insurance Life and disability insurance Flexible spending account Pet coverage and pet Rx discounts Free identity theft protection Free 2nd medical opinion service Location Texicare offers a flex-hybrid environment centered around collaboration and connection. All employees must reside in Texas. Team members living in the Austin area are expected to work from our office at least two days per week. Those based outside the greater Austin area may work remotely within Texas, with occasional travel to Austin as needed. Texicare is an equal opportunity employer. #J-18808-Ljbffr