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Actuarial Analyst

Agilon HealthUnited StatesRemote
This job is no longer open

Company:

AHI agilon health, inc.

Job Posting Location:

Remote - USA

Job Title: ​

Actuarial Analyst

Job Description: ​


Position Summary:


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

Location: ​

Remote - TX

Pay Range: ​

$87,000.00 - $106,600.00
Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

This job is no longer open

Life at Agilon Health

A TRANSFORMATIVE PARTNERSHIP agilon health partners with primary care physicians to define a new standard of quality, efficiency and patient experience. We bring the people, solutions, capital and technology necessary to ensure their long-term success and to bring back the joy of practicing medicine. CRITICAL CARE We believe that every member of our team plays a critical role in transforming care for our patients. Our customer service teams are the front line for physicians and patients navigating the system and, without our claims processing departments, our health plan partners and provider networks couldn't do their jobs. No matter what your role is at agilon health, you can and will make a difference in the lives of the seniors and Medicaid populations we serve. Our culture and passion has already been embraced by nearly 500 employees in three states. And we are excited to welcome new members to the team as more physicians and patients experience the difference agilon health can make. CONTACT HR If you have any questions about career opportunities at agilon health, please contact the human resources department at Talent.Acquisition@agilonhealth.com.
Thrive Here & What We Value1. Collaborative work environment2. Emphasis on partner-centric approach3. Commitment to continuous improvement initiatives4. Focus on enhancing the ability to manage quality, utilization, and cost-of-care5. Developing innovative care models to create a world-class patient experience with high-quality care6. Positive tone setting7. Strategic and operational communication8. Active network building9. Confidentiality and sensitivity awareness10. Emphasis on patient-centered care and collaboration across the continuum of care</s>
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