Summary of Position :
- Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
- Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.
- Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial / financial calculations.
- Run, modify, and create data queries to produce analysis and reports.
Responsibilities :
- Perform actuarial tasks which are of a mathematical and quantitative nature.
- Support analysis of hospital, professional, and drug claim / utilization trends, membership / demographics, and
various other ad-hoc analyses.
- Maintain appropriate controls around models and other work products.
- Ensure quality and on time completion of deliverables.
- Assist with rate filings or valuation calculations.
- Support preparation of forecasts and monitoring of results or trends.
- Support development of efficient and transparent queries to obtain data that is appropriate to the purpose.
- Ensure internal and external consistency of all work.
- Perform reasonability checks dependent on industry knowledge and experience.
- Develop and implement analyses for special projects.
- Provide technical and analytical support for the actuarial department.
- Proactively take on additional work as needed by the team.
- Perform duties and assignments as directed or required.
Education, Training, Licenses, Certifications
Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance / business degree required
Relevant Work Experience, Knowledge, Skills, and Abilities
- 3 - 5+ years relevant, professional work experience and / or education required
- Actuarial / analytical experience, preferably in a healthcare environment preferred
- Strong mathematical and analytical skills required
- Strong communication skills (verbal, written, presentation) required
- Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) required
- Working knowledge of SQL, R, Python or similar required
- Capable with Excel, data extraction, simulations, automation required
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