Actuarial Analyst II – Actuarial Associate

Job Description:

• Provide direction and oversight for data, analyses, tools, reports, rating and reimbursement structures supporting products, services, and business decisions
• Direct pricing, rate filings, and designs for all lines of business
• Coordinate annual ACA and Medicare rate filings
• Coordinate risk adjustment analysis and accrual development
• Oversee claims experience and trend analysis, forecasting, and reporting
• Analyze financial statement reserves, liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims, and third-party claims and liabilities
• Support internal and external audits and reporting
• Oversee budget projection input analysis, forecasting, administrative models, and reporting
• Oversee facility, physician, and provider reimbursement structures, models, and service utilization analysis
• Coordinate and develop Retiree Drug Subsidy data reporting and submissions
• Design, develop, and maintain data extracts, complex SQL queries, online data analysis, and reporting tools
• Participate in video interviews through Microsoft Teams and potential onsite interviews and meetings

Requirements:

• Bachelor's degree in math, statistics, computer science, economics or finance from an accredited institution; education is verified
• Associate of the Society of Actuaries
• Four years of relevant actuarial experience
• Understanding of underlying theory and effects of assumptions used in product development and maintenance
• Knowledge of health insurance products
• Intermediate SQL
• Stop loss calculations
• Actuarial health knowledge
• Finance statements
• Analytical thinking
• Management reporting
• Product development
• Analytic software programs
• Communication of results
• Ability to verbally communicate, hear, and understand spoken information
• Ability to operate computers, telephones, and office equipment
• Ability to see and read computer monitors and documents
• Ability to remain sitting or standing for long periods
• Candidates must not reside or plan to reside in California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, or Washington

Benefits:

• Generous benefits package covering programs for physical, mental, and spiritual well-being
• Remote work options
• Company equipment and remote-work support under applicable policies