Senior Actuarial Analyst

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

📋 Description

• Create and disseminate regular reports to aid in the calculation of risk adjustment actuarial best estimates and financial reporting.

• Gather and consolidate data from multiple systems to facilitate executive decision-making.

• Conduct research and generate reports and analyses for senior management; effectively convey the results.

• Support the preparation of forecasts and filings related to risk adjustment.

• Develop risk score reporting utilizing Cozeva, internal claims, and Power BI, while organizing and managing extensive and diverse data sets, analyzing healthcare data for decision support, and communicating insights.

• Collaborate with operational teams to analyze, comprehend, modify, and convey models and outcomes.

• Provide recommendations to management based on pertinent findings.

• Leverage Power BI to present relevant reporting within a defined refresh cycle.

• Examine key trends and performance indicators related to clinical programs, provider network performance, various programs or practices, and healthcare providers.

• Conduct peer reviews and mentor junior-level actuarial analysts, including managing priorities for work and projects.

⛳️ Requirements

• Bachelor’s degree in a quantitative field such as accounting, engineering, economics, finance, statistics, or mathematics from an accredited institution or a related area.

• At least 5 years of experience working with data and actuarial models.

• A minimum of 5 years of experience with managed care applications such as GE Centricity, Epic, Cerner, etc.

• 5 or more years of experience in the healthcare sector, preferably in a hospital, health plan, or managed care setting.

• At least 5 years of experience in financial modeling for payer and provider negotiations and medical cost management strategies.

• 5 or more years of experience in a rapid cycle, decision support role within a fast-paced environment.

🏝️ Benefits

• Comprehensive medical, vision, and dental coverage.

• 401k savings plan with company matching.

• Flexible time off and 9 paid holidays.