Actuarial Analyst II
About the role
This role supports actuarial and data analytics for risk-adjusted business across ACA, Medicare Advantage, and Medicaid. Responsibilities include analyzing risk scores, financial impacts, and performance metrics, as well as developing insights to guide risk adjustment strategy, reporting, and pricing/forecasting efforts.
Responsibilities
- Perform or support actuarial analytics on risk adjustable lines of business, including ACA, Medicare Advantage, and Medicaid.
- Perform or support CMS-HCC and HHS-HCC risk score projections, including RATP, MA MYRA/FYRA accruals, and RADV financial impacts.
- Perform or support data analytics and reporting to inform risk adjustment operations, strategy, submissions, and vendor performance.
- Support financial metrics pertaining to risk adjustment performance, including but not limited to intervention ROI.
- Collect and analyze data to use for financial and utilization reporting and monitoring.
- Support pricing and forecast efforts, including ACA pricing and MA Bid submissions.
Requirements
Requires 2+ years of actuarial and/or statistics experience or attainment of Associate level in the Society of Actuaries (ASA).
Additional Licensing, Certifications, Registrations: ASA candidate a plus.
Requires working knowledge of Excel.
Prefers experience with SAS or other programming language.
Prefers knowledge of data analysis and Actuarial principles.
Skills and Abilities
- Good oral and written communication skills.
- Strong analytical thinking.
- Strong mathematical skill and statistical analysis abilities.
- Good judgment and problem solving skills.
Benefits
Comprehensive health benefits (Medical/Dental/Vision)
Retail Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement