VP Reserving Forecasting & Trend

Requirements

• Required
• Minimum of 7 years of progressive experience in the healthcare industry, specifically within actuarial, financial forecasting, or trend analytics functions.
• Minimum of 5 years of demonstrated leadership experience managing and developing high-performing teams
• Preferred
• 10+ years of comprehensive actuarial experience, including at least 7 years in the healthcare industry.
• Exceptional Leadership: Proven ability to inspire, motivate, and develop high-performing teams in a dynamic, matrixed environment to achieve superior results quickly.
• Strategic Acumen: Deep understanding of industry and market trends, with the ability to translate insights into long-term strategic initiatives and champion

Benefits

Additional Information

Company : Highmark Inc. Job Description : JOB SUMMARY This critical senior leadership role guides a high-performing team of actuarial and analytics professionals, driving strategic, tactical, and operational excellence in claims reserving, financial forecasting, and sophisticated trend analytics. This position plays a pivotal role in shaping Highmark's financial stability and strategic direction by providing accurate insights and proactive guidance to senior leadership across the enterprise. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, and manage the day-to-day operations of the team; develop and implement policies and programs as necessary; manage to assigned budgets. Strategic Actuarial & Financial Leadership: Serve as a trusted advisor to Senior Management and cross-functional teams, proactively identifying opportunities and advocating for strategic and tactical changes and best practices that align with Highmark's enterprise-wide goals. Provide expert consultative services, translating complex actuarial and financial data into actionable insights for strategic decision-making. Reserving & Compliance Oversight: Drive continuous improvement in valuation practices, ensuring robustness and accuracy. Direct and oversee the development and delivery of exceptional actuarial work products, ensuring full compliance with all professional, legal, and regulatory standards, including Actuarial Standards of Practice (ASOPs), state and federal regulations, and accounting principles. ⁠Lead the calculation and oversight of all statutory and GAAP reserves, ensuring accuracy and compliance with actuarial standards and regulatory requirements. Direct analyses to support the preparation and submission of actuarial opinions, memoranda, and other financial reporting to regulatory bodies. Lead and support internal and external audits by providing comprehensive documentation and clear explanations of valuation processes, methodologies, and assumptions. Financial Forecasting & Performance Management: Lead the comprehensive financial forecasting process, including the annual Fall Plan and multiple bottom-up Reforecasts (Spring and Summer), collaborating closely with the FP&A team. Develop and deliver monthly financial outlooks based on dynamic claims information, providing timely updates and strategic implications to key stakeholders. Establish robust processes for monitoring actual claims and revenue performance against forecasts, conducting deep-dive variance analyses to understand underlying drivers and continuously refine projection methodologies for enhanced accuracy. Advanced Trend Analytics & Insights: Lead and empower the Trend Analytics team to identify, analyze, and interpret key trend drivers, developing early indicators that inform medical economics strategies and support proactive intervention. Translate complex data into clear, concise, and actionable trend insights that guide strategic business decisions and cost management initiatives. Talent Leadership & Development: Foster a high-performance, inclusive, and mutually supportive work environment characterized by respect, continuous learning, and innovation. Inspire and motivate a diverse team of professionals, setting clear direction and creating an atmosphere of trust that encourages diverse perspectives and promotes career growth. Provide exemplary coaching, mentorship, and constructive feedback throughout the year and during annual performance appraisals, supporting individual career progression and skill development. Champion team development through corporate and departmental initiatives, identifying and creating stretch assignments and growth opportunities to challenge and advance team competency. Develop and implement an effective succession plan for key departmental positions, ensuring talent readiness and continuity. Manage departmental cost centers, developing annual budgets and monitoring expenses to ensure efficient and effective utilization of Highmark resources. Other duties as assigned or requested.

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