Actuarial Analyst II

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

📋 Description

• Develop and sustain actuarial analyses, models, and reporting to support pricing, forecasting, reserving, risk adjustment, and financial planning decisions.

• Examine claims, utilization, membership, risk scores, provider performance, and benefit experiences to pinpoint financial trends, risks, opportunities, and key drivers.

• Prepare specific components for Medicare Advantage bid submissions, actuarial exhibits, and accompanying documentation.

• Conduct monthly and quarterly analyses of reserves, accruals, and financial performance; validate results, reconcile data, and clarify significant variances.

• Assess the financial implications of changes related to products, benefits, networks, operations, and regulations.

• Construct and enhance actuarial models, tools, dashboards, controls, and documentation utilizing data management, validation, and version control methodologies.

• Communicate analyses, assumptions, results, and recommendations to actuarial leadership and cross-functional stakeholders.

• Offer technical guidance and quality review support to junior analysts.

• Engage in the Actuarial Development Program by taking examinations, completing development activities, incorporating feedback, and applying newly acquired knowledge.

⛳️ Requirements

• 2-4 years of experience in actuarial science, healthcare analytics, insurance, financial modeling, or other relevant quantitative analysis.

• Proficiency in working with large datasets, financial or actuarial models, and reporting tools.

• Capability to independently organize and complete specified analyses, validate outputs, identify issues, and communicate findings effectively.

• Experience in collaborating with non-technical stakeholders to elucidate quantitative results and facilitate decision-making.

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related quantitative discipline; or an equivalent combination of education and experience.

• Active participation in the Actuarial Development Program is required.

• Successful completion of 2-4 actuarial examinations.

• Skills in actuarial modeling, forecasting, and financial analysis.

• Expertise in healthcare cost, utilization, membership, and risk-adjustment analytics.

• Experience in cross-functional collaboration and stakeholder management.

• Prior knowledge of Medicare Advantage is preferred.

• Programming experience in SQL, R, or Python is preferred.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Opportunities for professional development and certification support.

• Flexible work arrangements and a supportive work environment.