Actuarial Analyst

Job Title: ​

Actuarial Analyst

Job Description: ​

Position Summary:

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 close 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 perform analyses to support ad hoc requests from Market Finance and Business Development.

Essential Job Functions:

For assigned market:

• Update medical margin models for monthly close 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 close results to Market Finance leaders
• Calculate final cash settlements for MA payer contracts
• Prepare internal/external audit documentation
• Inform assumptions for budget/quarterly forecasts
• Perform 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, FP&A, Accounting, Med Econ, and others

Required Qualifications:

Minimum Experience

• 1-2 years of relevant actuarial experience within a healthcare and/or managed care organization
• Experience with Medicare Advantage products preferred

Education/Licensure

• Bachelor’s degree in Actuarial Science, Math, Economics or related 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 Excel 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