Actuarial Analyst II – Actuarial Associate

This is a fully remote position, open to applicants in Utah.

📋 Description

• Provide leadership and supervision for data, analyses, tools, reports, and reimbursement structures that support products, services, and business decisions.

• Direct the pricing, rate filings, and designs for all lines of business.

• Manage annual ACA and Medicare rate filings.

• Coordinate risk adjustment analysis and the development of accruals.

• Oversee claims experience, 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 both internal and external audits and reporting processes.

• Supervise budget projection input analysis, forecasting, administrative models, and reporting.

• Oversee reimbursement structures, models, and service utilization analysis for facilities, physicians, and providers.

• Coordinate and develop data reporting and submissions for Retiree Drug Subsidy.

• Design, develop, and maintain data extracts, complex SQL queries, online data analysis, and reporting tools.

• Participate in video interviews via Microsoft Teams and may engage in onsite interviews and meetings.

⛳️ Requirements

• A Bachelor’s degree in mathematics, statistics, computer science, economics, or finance from an accredited institution; educational credentials will be verified.

• An Associate of the Society of Actuaries.

• A minimum of four years of relevant actuarial experience.

• A solid understanding of the underlying theory and impacts of assumptions used in product development and maintenance.

• Knowledge of health insurance products.

• Proficiency in intermediate SQL.

• Experience with stop-loss calculations.

• Actuarial knowledge in health.

• Familiarity with financial statements.

• Strong analytical thinking skills.

• Experience in management reporting.

• Knowledge of product development.

• Familiarity with analytic software programs.

• Effective communication of results.

• Ability to verbally communicate, hear, and comprehend spoken information.

• Proficient in operating computers, telephones, and office equipment.

• Capability to see and read computer monitors and documents.

• Ability to remain seated or standing for extended periods.

• Candidates must not reside or intend to reside in California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, or Washington.

🏝️ Benefits

• A comprehensive benefits package that includes programs for physical, mental, and spiritual well-being.

• Options for remote work.

• Provision of company equipment and support for remote work in accordance with applicable policies.