Actuarial Analyst

Summary: This position reviews and models medical claims and membership data for financial reporting and projections.  Duties also include applying predictive models, researching health care industry trends, and developing executive-level presentations.

Essential Job Functions

• Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies and applying data, and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.
• Supports actuarial documentation by assisting with the preparation and review for accuracy of the actuarial portion of financial reports and tax returns, and responses to insurance regulations.
• Supports product line evaluations by assisting with analysis of product line financials, pricing, reserve, valuation, cash flow analysis; and documenting product line performance, risk, and assumptions used in product development.
• Assists with actuarial research by conducting literature reviews with limited direction on standards, assumptions, competition, and the legal and regulatory environment.
• Analyzes financial risks and opportunities by applying basic actuarial methods; collecting data; and assisting with interpreting actuarial analyses.
• Supports collaborations with peer-level business partners by translating actuarial constructs into non-technical explanations; and complying with the Actuarial Standards of Practice.
• Supports actuarial modeling by learning and using actuarial models; assisting with the application of alternative assumptions and forecasts using in-house models or actuarial software; and validating the data.

Minimum Required Education, Experience & Skills

• Bachelor’s degree in mathematics or related field.
• One to two (1 - 2) years actuarial experience, or equivalent work experience in a directly related field.
• Passed at least two (2) actuarial exams.
• Healthcare experience.
• Strong Microsoft Excel skills.

Preferred Education, Experience & Skills

• ASA credential
• Experience with financial reporting & IBNR/reserving.
• Experience with value-based care.
• SQL or similar software skills.
• PowerBI or Tableau skills.

Physical & Mental Requirements: (check all that apply)  

☐ Required immunizations and vaccinations.

☐ Ability to lift upwards of 50 pounds.

☐ Ability to push or pull heavy objects using up to 100 pounds of force.

☐ Ability to stand or sit for extended periods of time.

☐ Ability to use fine motor skills to operate equipment and/or machinery.

☐ Ability to properly drive and operate a company vehicle.

☒ Ability to receive and comprehend instructions verbally and/or in writing.

☒ Ability to use logical reasoning for simple and complex problem solving.

☐ Occasionally requires exposure to communicable diseases or bodily fluids.

☐ Ability to discriminate shades of color when reading a dipstick.