Summary of Position
Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.
Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial calculations.
Run, modify, and create data queries to produce analysis and reports.
Principal Accountabilities
Perform actuarial tasks which are of a mathematical and quantitative nature.
Support analysis of hospital, professional, and drug claim/utilization trends, membership/demographics, and
various other ad-hoc analyses.
Maintain appropriate controls around models and other work products.
Ensure quality and on time completion of deliverables.
Assist with rate filings or valuation calculations.
Support preparation of forecasts and monitoring of results or trends.
Support development of efficient and transparent queries to obtain data that is appropriate to the purpose
Ensure internal and external consistency of all work.
Perform reasonability checks dependent on industry knowledge and experience.
Develop and implement analyses for special projects.
Provide technical and analytical support for the actuarial department.
Proactively take on additional work as needed by the team.
Perform duties and assignments as directed or required.
Education, Training, Licenses, Certifications
Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree.
Relevant Work Experience, Knowledge, Skills, and Abilities
3 - 5+ years relevant, professional work experience and/or education required.
Actuarial/analytical experience, preferably in a healthcare environment preferred.
Strong mathematical and analytical skills required.
Strong communication skills (verbal, written, presentation) required.
Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) required.
Working knowledge of SQL, R, Python or similar required.
Capable with Excel, data extraction, simulations, automation required.
Additional Information
Requisition ID: 1000000603
