Actuarial Analyst II

2 days ago

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

+24 more states

🏈 Alabama – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ❄️ Minnesota – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $74.3k - $111.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

Apply Now

Receive Emails with Similar Jobs

Sentara Health

WebsiteLinkedInAll Job Openings

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

Health care

10,000+ employees

Founded 1890

⚕️ Healthcare Insurance

📋 Description

• This role will be within an Actuarial department, focusing on Government Programs. • Assist in any and all of the functions normally associated with a qualified health actuary including: IBNR calculation; the determination of rating factors such as age, sex, location, or industry; development of rates and filings for the BOI; suggestions for periodic group rating changes; development of necessary rates for government programs; assistance with the development, implementation and maintenance of new products, services and systems, including any necessary rate development; providing actuarial input to the Corporate management staff level; and reporting on the financial status of entire products or segments of products. • Create models that identify and predict diseases in our members. • Generate forecasts of risk adjusted revenues for year-end accruals. • Maintain data structures that house HCC models and member data. • Measure key metrics related to point-of-care gap closure solutions. • Valuate the financial impact of risk-adjustment operations. • Assist in ad-hoc requests related to risk scores and revenue. • Advise on the strategic considerations of risk-adjustment activities. • Develop new processes that improve on the department's objectives. • Work with a team of actuaries, analysts, and medical professionals.

🎯 Requirements

• Minimum 2 years in Actuarial Analysis. • Analytical and problem-solving skills are necessary; ability to work under tight deadlines and handle pressure situations; ability to work in a team environment. • Minimum completion of three Actuarial exams with continued progress towards Society of Actuaries credential • Experience in at least 3 of the following areas: IBNR and reserve setting • General pricing and filing support of Individual products • General pricing and filing support of Small Group products • General pricing and filing support of Large Group products • Assist in Medicare Advantage Bid filing • Evaluation of Managed Medicaid programs • Provider Contract evaluations • Provider Profit/withhold settlement evaluations • Product Experience Monitoring • Reinsurance/Stop-loss Reporting

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.