Senior Actuarial Analyst - Medicare
About the role
Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance. Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.
Responsibilities
- Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.
- Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.
- Develop and run data reports to identify emerging trends and gaps.
- Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.
- Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.
- Perform other duties as assigned.
Requirements
- Bachelor’s degree in related field or equivalent experience.
- Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.
Skills
- Intermediate to advanced Excel skills.
- Data analytics experience.
- Basic query/SQL knowledge.
- AI/Copilot experience is a plus.
Pay
Pay Range: $70,100.00 - $126,200.00 per year
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules