Actuarial Analyst

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