Actuarial Analyst - Health Plan

About the role

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

Responsibilities

• Prepare and analyze data for Part D and develop comparisons between actual versus forecast.
• Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs.
• Utilize the Data Warehouse efficiently to develop reports and extract data fields.
• Analyze historical data trends in order to establish reasonable assumptions.
• Aid the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters and testing benefit scenarios.
• Assist the financial budget and forecasts of pharmacy costs and the ongoing monitoring of actual results.
• Proactively identify opportunities to streamline workflows, enhance model efficiency, and improve automation of existing processes.
• Bring intellectual curiosity and a continuous improvement mindset to all assigned work, challenging the status quo where appropriate.
• Actively support the achievement of SCAN’s Vision and Goals.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, or Statistics or any other major with significant quantitative course work required.
• 2-4 years of actuarial experience with healthcare, health plan, or managed care focus, or comparable actuarial consulting experiences.
• Experience with Medicare, Medicaid, Part D, commercial health insurance, or network contracting for a health plan is highly preferred.

Skills

• Strong analytical skills.
• Microsoft Office Suite (Word, Excel including formulas, V-Lookups, and pivot tables, PowerPoint, Access, Outlook, Teams), and SQL at advance level.
• Basic problem solving skills and strong mathematics skills.
• Good written and verbal communication and interpersonal skills.

Pay

Base salary range: $70,000 to $80,000 per year

Schedule

Mostly Remote