Job Description

Actuarial Analyst

REMOTE, U.S. /

DATA – ACTUARIAL /

FULL TIME

/ REMOTE

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Ensures data integrity is maintained throughout the reporting lifecycle.
  • Implements reporting and reconciliation workflows and document processes.
  • Responsible for experience studies and medical trend studies.
  • Responsible for running queries and providing required analysis in order to understand related drivers (such as medical cost and utilization), as well as providing insightful commentary and sensitivity modeling analysis.
  • Reports production to support financial reporting and operations.
  • Pulls ad-hoc reporting as needed.
  • Performs research and collection of data, including data mining and reporting, which is -provided to various internal and external partners.
  • Refers to senior level staff for assistance with high level problems that arise.
  • Develops and test interim solutions, manages basic process changes, as needed, evaluates and monitors results making the appropriate changes/improvements as applicable.
  • Automates manual reporting and analysis of business implication and trends.
  • Drives efforts to continually improve data capabilities and quality of department analysis and reporting.
  • Development of revenue and medical claims expense models for evaluating and projecting risk based contracts with health plan clients, ACOs and government partners.
  • In depth claims of baseline and ongoing contract monthly data.
  • Profitability analysis and drill down analysis into actual expected variances.

EDUCATION:

Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience

EXPERIENCE AND REQUIRED SKILLS:

  • 2- 5 years of related experience.
  • Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation, database and email applications.
  • Strong interpersonal skills with the ability to collaborate with multiple departments.
  • Excellent oral and written communication skills to effectively communicate with all levels of management.
  • Pursuing ASA designation

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