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GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS)




ACTUARIAL ANALYST WSRD05
Type: Permanent 
Salary: The total remuneration package will be will be based on qualifications and experience.
 
The position of Actuarial Analyst is vacant. The Actuarial Analyst will report directly to the Senior Manager: Actuarial Services and forms part of the Research and Development Division. The position is based at GEMS Head Office, Pretoria.
 
The total remuneration package will be will be based on qualifications and experience. The Actuarial Analyst will monitor the financial performance of the Scheme, provide budgetary guidance, analysis of claims, actuarial analysis reports, update actuarial models and develop new models through the following KPA’s:
 
Key Performance Areas (KPAs):
  • Monthly and annual forecasts with appropriate analysis and risk adjustments
  • Analysis industry benchmarks and provide recommendations for improvement
  • Analysis claim handling trends
  • Integrate data to determine trends from fraud waste and abuse
  • Evaluate, process, analyse and interpret statistical data for reporting
  • Plan and organise surveys and other statistical data collection
 
Qualification requirements are:
  • B.Sc. or equivalent degree in Actuarial Science.
  • Minimum of 0-2 years’ experience in a similar role a
  • Good progress with A100, A200) exams, with the number of exemptions obtained at university an added advantage
  • Problem-solving and analytical skills
  • Accurate and strong attention to detail
  • Good written and oral communication skills
  • Report writing and presentation skills
  • Self-starter
  • Team player with ability to work independently
  • Programming skills e.g. knowledge in SAS, R, SQL and a strong interest in programming
  • Computer literate with some experience with MS Office, particularly Word, PowerPoint, Excel
 
Desirable
  • Have an understanding of medical schemes industry
 
 
Should you be interested, please apply for the position by emailing your CV to jobs@gems.gov.za 
 
*** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.
 
*** Information is required for Employment Equity purposes.
 
*** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.
 
*** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to jobs@gems.gov.za.
 
***Gems is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with Gems employment equity plan.



</ div> SENIOR MANAGER: ACTUARIAL SERVICES WSRD01 Type: Permanent  Salary: The total remuneration package will be will be based on qualifications and experience.   The position of Senior Manager Actuarial Services is vacant. The Senior Manager Actuarial Services will report directly to the Chief Research Officer and forms part of the Research and Development Division. The position is based at GEMS Head Office, Pretoria.   The total remuneration package will be will be based on qualifications and experience.   The Senior Manager Actuarial Services will provide actuarial services to GEMS through the following activities: Establish and oversee the activities of the actuarial staff including selection, mentorship and coaching, workload and performance management, Develop mathematical analyses and apply actuarial principles to solve problems for the organisation, Advise the CRO, Principal Officer and Scheme management based on thorough research, insight and predictive analysis through the following KPA’s:   Key Performance Areas (KPAs): Establish and oversee the Actuarial capabilities in the organisation Provide accurate monthly and annual forecasts with appropriate well considered analysis and risk adjustments. Identify and communicate cost efficiency opportunities Provide industry benchmarks and recommendations. Identify claim trends and provide solutions Analyst provider profile benchmarks and identify opportunities to improve benefit offerings Analyse various information sources to determine trends that emanate from fraud, waste and abuse. Analyse GEMS processes and information, identify key areas of efficiency, effectively communicate intervention recommendations. Conducting logical analysis of management problems, especially in terms of input-output effectiveness, and formulating mathematical models to problems. Designing and putting into operation systems to enable actuarial analysis. Advising on and applying various data collection methods and statistical methods and techniques, and determining reliability of findings. Planning and organizing surveys and other statistical data collection, and designing questionnaires. Studying, improving and developing actuarial and statistical theories and techniques for application in the organization Qualification requirements are: B.Sc. or equivalent degree in Actuarial Science. Fellow of the Actuarial Society of South Africa (“FASSA”) and holding a Practicing Certificate in Healthcare issued by ASSA. Minimum 8+years actuarial experience. Minimum 3+ years healthcare experience, including pricing, benefit design, IBNR calculations, experience monitoring of medical schemes. Strong risk management experience. Strong stakeholder management experience. Statistical analysis skills. Experience of Advanced Analytical Modelling tools e.g. SAS, R Actuarial model development, data analysis and manipulation experience Knowledge of finance, accounting and economics – especially health related Report writing and presentation skills and being proficient in MS Office, particularly Word, PowerPoint, Excel.     Should you be interested, please apply for the position by emailing your CV to [email protected]    *** GEMS employs people with the highest level of integrity – submission to the appropriate pre-employment assessment is obligatory to be considered for the position.   *** Information is required for Employment Equity purposes.   *** Kindly note that the information provided on application of the position may be shared with a third party for vetting purposes and will be stored by GEMS for a period of 5 years.   *** Should you wish to have your information removed from the GEMS database, kindly send a request in writing to [email protected].   ***Gems is guided by the principles of employment equity. Preference will be given to groups who are underrepresented in accordance with Gems employment equity plan.