Senior Actuarial Analyst

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

📋 Description

• Develop, maintain, and audit actuarial models along with traditional actuarial methodologies that support monthly reserve balances, RAF accruals, Part D pass-through accruals, forecasting, trend analysis, and financial projections.

• Analyze trends in healthcare costs and utilization, focusing on pharmacy, medical cost drivers, claim adjudication, and utilization management KPIs.

• Assist in pricing, reserving, and financial planning activities, including budget and forecasting cycles.

• Suggest changes in methodologies in response to evolving circumstances and operational deviations.

• Collaborate with teams across HealthPlan Economics, Medicare Risk Adjustment, finance, pharmacy, clinical, operations, and external stakeholders.

• Evaluate financial performance in various markets and convert complex analytics into understandable business insights.

• Carry out data-driven analyses to support strategic decision-making, program performance assessment, and risk and opportunity evaluation.

• Communicate actuarial methods and analyses to non-actuarial stakeholders and leadership through reports, dashboards, and presentations.

• Ensure the integrity, validation, and reconciliation of data across multiple sources for regulatory and financial reporting purposes.

• Execute other assigned tasks as needed.

⛳️ Requirements

• A minimum of 3-5 years of relevant work experience is required.

• A college degree is necessary, with at least a minor in actuarial science, mathematics, statistics, economics, or an equivalent business background.

• Prior experience with Medicare Advantage is preferred.

• ASA designation or completion of the majority of courses required for the ASA designation is expected.

• Programming skills in SQL, R, or Python are advantageous.

• A curious mindset with a desire to learn within the actuarial field and beyond traditional actuarial domains is essential.

• Capability to satisfactorily perform each essential duty is required.

• Must fulfill essential physical functions, including regular talking or hearing, standing, walking, sitting, using hands and fingers, handling or feeling objects, reaching with hands and arms, and frequently lifting or moving items weighing up to 10 pounds.

🏝️ Benefits

• Remote work.

• Equal Employment Opportunity and Affirmative Action.

• Reasonable accommodations provided under the Americans with Disabilities Act (ADA).