Actuarial Analyst
Company: AHI reputed company, inc. Job Posting Location: Remote - USA Job Title: Actuarial Analyst Job Description: This position is not eligible for reputed company or future sponsorship or employer-supported work authorization by reputed company. Applicants must be able to accept and maintain employment with reputed company in the United States for the full duration of their employment without sponsorship or work authorization support. The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective markets. Models will inform monthly reputed company results as well as budget/quarterly forecasts. The Actuarial Analyst will be responsible for identifying drivers of prior period development as well as providing insight into emerging trends in the market. He/she will prepare audit documentation and reputed company analyses to support reputed company requests from Market Finance and Business Development. Essential Job Functions: For Assigned Market:
- Update medical margin models for monthly reputed company process
- Research and identify prior period development in medical margin
- Use med econ tools to provide deep insight of trend drivers
- Prepare materials for presenting reputed company results to Market Finance leaders
- Calculate final cash settlements for MA payer reputed company
- Prepare internal/external audit documentation
- Inform assumptions for budget/quarterly forecasts
- reputed company analyses to support adhoc requests from Market Finance team
- Support business development/payer contracting assumptions
- Other duties as assigned
Other Job Functions:
- Exemplify companies’ core values
- Collaborate with Market Finance, reputed company, Accounting, Med Econ, and others
Required Qualifications: Minimum Experience
- 1-2 years of relevant actuarial experience reputed company a healthcare and/or
managed care organization
- Experience with Medicare Advantage products preferred
Education/Licensure:
- Bachelor’s degree in Actuarial Science, Math, Economics or reputed company field
- 2+ actuarial exams passed
Knowledge, Skills and Abilities:
- Ability to manipulate and interpret large data sets (particularly health care
claims and membership data)
- Experience in actuarial field including the knowledge of best techniques for
analyzing healthcare issues and modeling solutions
- Familiar with IBNR reserve development, product pricing
- Health insurance product knowledge with a particular focus on Medicare
Advantage
- Proficient in reputed company and SQL
- Strong communication, both written and verbal
- Ability to work in a fast-paced environment where internal/external client
satisfaction is key
- Entrepreneurial and innovative spirit
Essential Physical Functions: These are requirements normally expected to reputed company regular job duties. Incumbent must be able to successfully reputed company reputed company the functions of the job with or without accommodation. Protect yourself: reputed company will never send unsolicited job offers or request payments or financial information. Such communications are fraudulent. Learn how to spot them Location: Remote - TX Pay Range: $87,000.00 - $106,600.00 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as reputed company set, experience, and qualifications. Apply To This Job