Actuarial Manager

Pasig City

Roles:

Leads and manages the overall actuarial operations of the organization.
Ensures sound pricing strategies, accurate reserving methodologies, claims cost forecasting, profitability analysis, and regulatory compliance within the HMO / healthcare insurance environment.
Provides strategic and technical actuarial guidance to Top Management, Finance, Sales, Medical Operations, and other business units through data-driven insights, predictive modeling, and financial risk assessments.
Maintains the financial sustainability, competitiveness, and long-term growth of the company’s healthcare products and benefit plans.
Regulatory Compliance and Governance: Ensures compliance with regulations issued by the Insurance Commission, BIR and other government regulatory. Prepares actuarial valuation reports, certifications, and required regulatory submissions. Assists internal and external auditors on actuarial matters. Maintains governance controls over actuarial models, assumptions, and documentation. Ensures ethical actuarial standards and professional practices are consistently followed.
Strategic Business Support: Provides management with financial impact studies and data-driven recommendations. Conducts feasibility studies for new plans, expansions, partnerships, and business opportunities. Participates in annual strategic planning, budgeting, and forecasting sessions. Supports mergers, acquisitions, portfolio transfers, or restructuring exercises when needed. Performs what-if modeling for pricing, claims costs, and membership growth scenarios.
Systems Improvement and Automation: Improves actuarial efficiency through automation tools such as Excel VBA, SQL, Python, R, Power BI, or similar platforms. Builds dashboards for pricing, claims trends, loss ratios, and utilization monitoring. Collaborates with ICT and Data teams for data warehouse enhancement and reporting accuracy. Standardizes actuarial templates, processes, and internal controls.
Quality Management System (QMS) : Ensures departmental compliance with ISO 9001:2015 Quality Management System standards. Ensures actuarial processes consistently deliver intended outcomes. Identifies opportunities for process improvements, innovations, and automation. Report relevant QMS performance updates to Top Management. Promotes customer focus in product pricing and service design. Ensures integrity of documented processes and controls.

QUALIFICATIONS:

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related quantitative field. Master’s degree or MBA is a plus.
Professional Designation: Fellow of the Actuarial Society of the Philippines (FASP) or equivalent (FSA, FIA).
Experience: At least 5 years of actuarial work experience in health insurance or HMO, with a minimum of 3 years in a leadership role.
Regulatory Eligibility: Must meet the Insurance Commission’s standards for Appointed Actuary.
Strong understanding of actuarial principles, pricing, product development, risk assessment and management. In-depth knowledge of regulatory requirements and industry standards. Strategic thinking and business acumen.
Experience in communicating complex concepts to non-technical audiences. Strong analytical, problem-solving, and decision-making skills. Strong leadership and team management abilities. Excellent communication and interpersonal skills

Job Type: Permanent

Benefits: