Company:
AHI agilon health, inc.Job Posting Location:
Remote - USAJob Title:
Actuarial AnalystJob Description:
This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.
The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective markets. Models will inform monthly close results as well as budget/quarterly forecasts. The Actuarial Analyst will be responsible for identifying drivers of prior period development as well as providing insight into emerging trends in the market. He/she will prepare audit documentation and perform analyses to support ad hoc requests from Market Finance and Business Development.
Essential Job Functions:
For Assigned Market:
• Update medical margin models for monthly close process
• Research and identify prior period development in medical margin
• Use med econ tools to provide deep insight of trend drivers
• Prepare materials for presenting close results to Market Finance leaders
• Calculate final cash settlements for MA payer contracts
• Prepare internal/external audit documentation
• Inform assumptions for budget/quarterly forecasts
• Perform analyses to support adhoc requests from Market Finance team
• Support business development/payer contracting assumptions
• Other duties as assigned
Other Job Functions:
• Exemplify companies’ core values
- Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others
Required Qualifications:
Minimum Experience
• 1-2 years of relevant actuarial experience within a healthcare and/or
managed care organization
- Experience with Medicare Advantage products preferred
Education/Licensure:
• Bachelor’s degree in Actuarial Science, Math, Economics or related field
• 2+ actuarial exams passed
Knowledge, Skills and Abilities:
- Ability to manipulate and interpret large data sets (particularly health care
claims and membership data)
- Experience in actuarial field including the knowledge of best techniques for
analyzing healthcare issues and modeling solutions
• Familiar with IBNR reserve development, product pricing
• Health insurance product knowledge with a particular focus on Medicare
Advantage
• Proficient in Excel and SQL
• Strong communication, both written and verbal
• Ability to work in a fast-paced environment where internal/external client
satisfaction is key
• Entrepreneurial and innovative spirit
Essential Physical Functions:
These are requirements normally expected to perform regular job duties. Incumbent
must be able to successfully perform all the functions of the job with or without accommodation.
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Location:
Remote - TXPay Range:
$87,000.00 - $106,600.00Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
Originally posted on Himalayas