Senior Actuarial Analyst – Risk Adjustment

This is a fully remote position, open to applicants in Alabama, +45 more locations.

📋 Description

• Facilitate risk adjustment projects through data analysis, modeling, actuarial reporting, and data validation.

• Contribute to financial analysis, data validation, and risk assessment to project outcomes.

• Assist with data submissions, rate reconciliation, audits, and chart chase initiatives.

• Emphasize on data completeness and precision.

• Execute and interpret market-level results utilizing CDPS+Rx or comparable risk adjustment models.

• Serve as the team's primary contact for a designated group of markets.

• Utilize mathematics, probability, statistics, finance, and business acumen to compute financial outcomes.

• Aid in developing probability tables based on statistical data and relevant information.

• Analyze and assess necessary premium rates.

• Create and execute data reports.

• Detect data issues and reveal significant insights.

• Communicate findings to aid in business decision-making.

• Perform additional tasks as assigned while adhering to all policies and standards.

⛳️ Requirements

• Bachelor's degree in a relevant field or equivalent experience.

• A combination of years of experience and the number of actuarial exams passed must equal or exceed 5 (Rule of 5).

• Prior actuarial experience.

• Proven advancement toward an actuarial credential through successful completion of actuarial exams.

• Preferred experience in data validation, manipulation, and quality assurance.

• Strong skills in SQL, coding, and data analytics while working with large datasets.

• Highly desirable experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation.

• Knowledgeable in mathematics, probability, statistics, finance, and business principles.

• Fully remote position available within the continental U.S.; preference for ET and CT time zones.

🏝️ Benefits

• Competitive compensation.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to recognized holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Support for exam preparation.

• Opportunities for professional development.