Actuarial Associate

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

📋 Description

• Analyze and interpret data concerning costs, membership, capitation, rate-setting, IBNR, and other relevant factors.

• Utilize SQL and Excel to model data and evaluate financial risks.

• Create exhibits to aid in the socialization of financial results.

• Act as a subject matter expert for both internal and external stakeholders.

• Collaborate with teams to generate actionable insights.

• Assess potential risks and their financial implications for the organization.

• Compare actual PMPM rates against budgeted figures by Category of Service and analyze healthcare expenditure trends.

• Assist in the development, maintenance, and preparation of IBNR models, lag schedules, and liability assessments.

• Modify and enhance IBNR models based on changes in organizational, environmental, or emerging risks.

• Support the assessment and reporting of Value-Based Contracts.

• Conduct financial reconciliations for risk-sharing agreements.

• Assess the feasibility and opportunities for new Value-Based Contract arrangements.

• Become an internal subject matter expert on state rate developments.

• Analyze rate books provided by the state to verify assumptions.

• Assist in formulating documented procedures that support the completion and IBNR processes.

• Convey complex statistical and mathematical information effectively.

• Develop and present strategies and solutions aimed at managing risk and costs.

• Travel to the Home office for on-site meetings may be necessary.

⛳️ Requirements

• Bachelor’s Degree in Actuarial Science, Mathematics, Business, or a related field from an accredited institution.

• Minimum of three (3) years of relevant experience in an Actuarial role.

• Successfully passed at least 2 Society of Actuary (SOA) Actuarial Examinations.

• Preferred experience with Financial Close Processes.

• Preferred experience in supporting Health Plans.

• Strong training and presentation skills.

• Proficient in the Microsoft Office Suite.

• Effective verbal communication skills.

• Excellent organizational abilities.

• Strong complex problem-solving skills.

• Capable of time management and prioritization.

• Proficient in written communication and reporting.

• Experience with SQL.

• Satisfactory completion of background and credit checks required.

🏝️ Benefits

• Medical, Dental, Vision, Life, and Long-Term Disability coverage.

• Competitive retirement savings plan.

• Flexible work schedules including hybrid and remote options.

• Paid time off that includes vacation, sick leave, holidays, and management leave.

• Dress flexibility.