Qualifications

• At least 3 years’ professional work experience in an actuarial or related field
• Completed and passed at least 4 actuarial exams, preferably SOA
• A bachelor’s degree in actuarial science, mathematics, statistics, finance economics, data analytics or related major is required
• Outstanding technical skills: Excel proficiency preferred, coding experience in Python, R, SQL, required
• Analytical skills: Ability to think critically, problem solve and drive business impact
• Effective interpersonal, written and verbal communication skills
• Strong demonstrated ability to lead paired with initiative and curiosity
• Commitment to professional development and learning the business of healthcar

• Identify, monitor, and analyze principal health care cost drivers, by market segment and/or by provider, including utilization and referral patterns and reimbursement rates
• Bid development/pricing: leading the pricing of contracts from assistance with strategic positioning to overseeing the development of assumptions, providing actuarial certification and final upload to post submission bid support
• Research healthcare delivery topics, analyze data, present results, and recommend solutions to address business challenges by applying knowledge of medical claims analysis, critical-thinking skills, and healthcare experience/expertise
• Analyze claims, membership, and prior authorization data to identify early signs of trends or other issues related to medical care costs and quality of care
• Provides actuarial support for Medicare Advantage plans by identifying trends and profitability drivers utilizing sound statistical methods.
• Utilizes experience with HCCs and RAFs to forecast revenue projections
• Structure analytical results in an organized, visual manner to tell a meaningful, actionable story
• Work with Engineering team to source data, determine its credibility and usability, create end-user reports, and apply varying analytical techniques to solve specific business problems
• Perform ad-hoc requests from key stakeholders
• Interpret contractual language with a clear understanding of business rules and reporting requirementsExecute other duties and special projects as needed, focusing on knowledge and skills development
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  Requirements:

Qualifications

• At least 3 years’ professional work experience in an actuarial or related field
• Completed and passed at least 4 actuarial exams, preferably SOA
• A bachelor’s degree in actuarial science, mathematics, statistics, finance economics, data analytics or related major is required
• Outstanding technical skills: Excel proficiency preferred, coding experience in Python, R, SQL, required
• Analytical skills: Ability to think critically, problem solve and drive business impact
• Effective interpersonal, written and verbal communication skills
• Strong demonstrated ability to lead paired with initiative and curiosity
• Commitment to professional development and learning the business of healthcare