USA
6 days ago
Associate Actuary
**Responsibilities:** The **Associate Actuary** will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization. This position will support **Medicaid Markets.** **Work Arrangement** + This is a 100% Remote position but you must live in EST or CST time zones **Responsibilities** + Calculates, analyzes, and adjusts monthly reserve according to observed payment patterns, seasonality and anticipated claim development. + Identifies underlying drivers of monthly IBNR calculations to be communicated to department and company leadership. + Calculates monthly assigned line of business membership and revenue, identifying primary drivers of monthly revenue and incorporating new revenue streams into models as needed. + Develops revenue models as part of the monthly financial reporting package - has a clear understanding of the rate cells by line of business, stratification of current vs. retroactive members, revenue changes by month, etc. + Prepares summaries of revenue and reserves for finance directors and upper management. + Compiles supporting documentation and exhibits for reserve, revenue, and medical loss ratio audits. + Coordinates preparation of text and exhibits for actuarial opinions, actuarial certifications and ad hoc state regulatory and statutory reporting requests. + Communicates results of actuarial analysis to various stakeholders. + Develops actuarial models and presentation materials. + Adheres to actuarial standards of practice and the code of professional conduct **Education and Experience** + ASA or near ASA (1-2 requirements remaining) + Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field + 4+ years experience working in healthcare and / or Medicaid / ACA products. + Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively + Experience mining large data sets + **Advanced capabilities in Excel, SAS/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.** + Programming experience in Python & R is a plus + Excellent written and verbal communication skills as well as strong data presentation skills + Established ability to manage multiple initiatives, shifting back and forth effectively among activities, to produce positive results in a dynamic environment. Your career starts now. We’re looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com . **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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