Job Description

REMOTE

Summary:

• Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
  
  
• Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.
  
  
• Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial calculations.
  
  
• Run, modify, and create data queries to produce analysis and reports.

Responsibilities:

• Perform actuarial tasks which are of a mathematical and quantitative nature.
  
  
• Support analysis of hospital, professional, and drug claim/utilization trends, membership/demographics, and various other ad-hoc analyses.
  
  
• Maintain appropriate controls around models and other work products.
  
  
• Ensure quality and on time completion of deliverables.
  
  
• Assist with rate filings or valuation calculations.
  
  
• Support preparation of forecasts and monitoring of results or trends.
  
  
• Support development of efficient and transparent queries to obtain data that is appropriate to the purpose
  
  
• Ensure internal and external consistency of all work.
  
  
• Perform reasonability checks dependent on industry knowledge and experience.
  
  
• Develop and implement analyses for special projects.
  
  
• Provide technical and analytical support for the actuarial department.
  
  
• Proactively take on additional work as needed by the team.
  
  
• Perform duties and assignments as directed or required.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required

• 3 - 5+ years relevant, professional work experience and/or education required
  
  
• Must make sufficient progress toward obtaining actuarial credentials, defined as sitting for a minimum of one exam per year, scoring above a zero, and obtaining at least a combined score of 5 over two consecutive sittings
  
  
• When unable to meet the progress outlined in the bullet above, the role will be transitioned to a non-Actuarial job title and job description
  
  
• Actuarial/analytical experience, preferably in a healthcare environment preferred
  
  
• Strong mathematical and analytical skills. required
  
  
• Strong communication skills (verbal, written, presentation) required
  
  
• Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) required
  
  
• Working knowledge of SQL, R, Python or similar required
  
  
• Capable with Excel, data extraction, simulations, automation required

• Requisition ID: 1000002849
• Hiring Range: $56,160-$99,360

Job Tags

Similar Jobs