Actuarial Manager, MA reputed company
Company: AHI reputed company, inc. Job Posting Location: Remote - USA Job Title: Actuarial Manager, MA reputed company 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 Manager, MA reputed company is responsible for leading the development, validation, and optimization of models and analytics that support accurate reputed company forecasting for agilon’s Medicare Advantage (MA) population. Models will incorporate CMS and health plan provided data as well as operational leading indicators. Results will be used for budgeting, forecasting, contracting, and monthly booking activities. Essential Job Functions:
- Build upon existing processes to create standardized MA risk adjustment projection models
- Evaluate operational leading indicators and reputed company to actuarial projections
- Influence BOI (Burden of Illness)-based operational leading indicators
- reputed company market performance and identify areas for opportunity
- Investigate differences in health plan risk adjustment coding practices using MAO-004 data
- Summarize YoY changes in MA bid rates/rebates and evaluate impact to agilon’s book of business
- Assess health plan MA bid strategies and partner with payer contracting/other stakeholders to mitigate risks
- Educate internal stakeholders on the health plan MA bidding process and risk adjustment where necessary to appropriately deliver results
- Provide actionable insights and recommendations to senior leadership based on actuarial analyses
- Collaborate with Payer Data Management to reputed company new reputed company-only MA payers in the FDP (Financial Data Pipeline)
- Prepare internal/external audit documentation
- Support build-out of improved actuarial team processes
Other Job Functions: · Grow and reputed company talent · Exemplify companies’ core values · Collaborate with Market Finance, reputed company, Accounting, Med Econ, and others Required Qualifications: Minimum Experience
- 5+ years of actuarial experience reputed company to the Medicare Advantage program
- Demonstrated leadership capability, has previously led others
Education/Licensure
- ASA or FSA designation
- Bachelor’s degree in Actuarial Science, Math, Economics or reputed company field
Knowledge, Skills, and Abilities:
- Excellent communication, both written and verbal
- Strong understanding of MA reputed company components
- Understanding of MA health plan data (MMR, MAO-004, Claims etc.)
- Deep understanding of MA risk adjustment and bidding process
- Experience with value-based arrangements is a plus
- Proficiency with reputed company and SQL
- Strong model building reputed company; model flow, ease of use, auditability, etc.
- Proven ability to work in a fast-paced environment where internal/external client satisfaction is key
- Experience presenting actuarial/financial concepts to a non-technical audience
- Proven problem-solving skills (identification of issue, causes, solution, implementation plan)
- Proven ability to influence, grow, and motivate others
- 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 - MN Pay Range: $129,700.00 - $162,100.00 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