Actuarial Analyst - D-SNP
About The Position
Are you passionate about applying your analytical skills to make a meaningful impact in healthcare? As an Actuarial Analyst - D-SNP, you’ll play a key role in supporting our Medicare product valuation and reserving efforts, with a dedicated focus on the Dual Eligible Special Needs Plan (D-SNP) line of business. Working in close collaboration with a team of experienced actuaries, you’ll blend your expertise in mathematics, probability, and statistics with essential business insights to deliver high-impact solutions for rating/pricing, valuation, healthcare economics, and financial forecasting. In this role, you’ll provide valuable actuarial support to teams across Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare, ensuring a unified approach to the actuarial aspects of our health programs. If you’re looking for an opportunity to grow your career, contribute to innovative health solutions, and be part of a supportive, dynamic environment, we invite you to apply and help shape the future of Medicare programs at our organization.
Requirements
- Bachelor's degree or advanced degree (where required)
- 2+ years of relevant actuarial experience. Related experience may be considered.
- Must have completed at least 3 exams towards the eventual attainment of the ASA designation.
- In lieu of meeting minimum exam requirements, may consider additional relevant experience.
- In lieu of meeting minimum experience requirements, may consider ASA or more exams towards the eventual attainment of the ASA.
Nice To Haves
- Prior experience with Medicare Advantage or PDP
- Prior experience in Health Reserving
- Dual Eligible Special Needs Plan (D-SNP) experience a plus
Responsibilities
- Performs actuarial research, experience studies, and statistical analyses and calculations.
- Calculates premiums and reserves of new and existing plans of insurance.
- Provides support to senior analysts or actuaries as required.
- Retrieves and validates data for rate filings and actuarial models.
- Builds model enhancements and determines reasons for changes to calculated factors.
- Analyzes impacts of changes to product lines and segments.
- Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).
- Retrieves and validates data for monthly reports and for UCL and ALR calculation.
- Supports valuation by executing ALR model and verifying results.
- Researches to support ALR assumption studies and UCL estimates.
- Distributes established reports and responds to inquiries.
- Investigates trends and anomalies.
- Executes control activities to support Enterprise Risk Management.
- Provides analytic support for corporate and departmental projects.
- Is a participant in good standing in the Actuarial Development Program
Benefits
- The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community.
- Work-life balance, flexibility, and the autonomy to do great work.
- Medical, dental, and vision coverage along with numerous health and wellness programs.
- Parental leave and support plus adoption and surrogacy assistance.
- Career development programs and tuition reimbursement for continued education.
- 401k match including an annual company contribution
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
