Actuarial Analyst

agilon health

$87K — $106K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 1-2 years of relevant actuarial experience in healthcare or managed care
  • Experience with Medicare Advantage products preferred
  • Bachelor's degree in Actuarial Science, Math, Economics, or related field
  • 2+ actuarial exams passed
  • Proficient in Excel and SQL

Responsibilities

  • Update medical margin models for monthly close process
  • Research and identify prior period development in medical margin
  • Use medical economic tools to analyze 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
  • Perform analyses to support ad hoc requests from Market Finance team

Benefits

  • Remote working opportunity
  • Collaborative work environment with various teams
  • Exposure to healthcare finance and actuarial practices
  • Opportunities to work on diverse projects in a fast-paced setting
Full Job Description

This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.

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:
 Bachelors 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
Essential Physical Functions:
These are requirements normally expected to perform regular job duties. Incumbent
must be able to successfully perform all the functions of the job with or without accommodation.

Protect yourself: agilon health will never send unsolicited job offers or request payments or financial information. Such communications are fraudulent.

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.

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