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.