Senior Actuary Remote

Profile

u003cpu003eu003culu003eu003cliu003eProvide data and support for the development of rate filings for submission to the Department of Insurance and CMS.u003c/liu003eu003cliu003eAssesses competitors' rates, trends and rating methodologies.u003c/liu003eu003cliu003eSupports various initiatives as needed by actuarial modeling.u003c/liu003eu003cliu003eDevelops/enhances ad hoc reports to assist in actuarial analyses of emerging results.u003c/liu003eu003cliu003eCreates and maintains large databases of information utilizing a unique skill set of spreadsheet and relational database abilities. u003c/liu003eu003cliu003eIBNR Reserves, PDR, Risk Adjustment and other outstanding itemsu003c/liu003eu003cliu003eConducts cross-functional analysis of health care data to identify trends and risks.u003c/liu003eu003cliu003eDevelop data and reports in support of reinsurance, risk adjustment and risk corridors, ensuring accurate impacts in pricing and coordination with rebate determination.u003c/liu003eu003cliu003eAssess the financial or pricing impact of variations in benefits and provider contracts. u003c/liu003eu003cliu003eEstimate mandated benefit cost and calculate pricing of benefit changes.u003c/liu003eu003cliu003eTracks trends and reports pertinent financial and utilization information.u003c/liu003eu003c/ulu003eu003cpu003eBachelor's Degree in Actuarial Science/Mathematics/Finance/Healthcare Management or a related field u003c/pu003eu003culu003eu003cliu003e3-4 Actuarial Examsu003c/liu003eu003cliu003e2-3 years of previous experience.u003c/liu003eu003cliu003eProblem solving and analytical skills.u003c/liu003eu003cliu003eKnowledge of MS-Office products, SAS or SQLu003c/liu003eu003c/ulu003eu003c/pu003eu003cimg src=****/u003e,identifier:{@type:PropertyValue,name:Oliver James,value:JOB-032023-202980_1679944404},datePosted:2023-03-27T19:13:26.901Z,validThrough:2023-04-26T23:59:59.999Z,employmentType:[],hiringOrganization:{@type:Organization,name:Oliver James,sameAs:****

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