Medica Health Plans

Senior Actuarial Analyst - Medicaid

Medica Health Plans$70K — $105K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent in a related field
  • 3+ years of post-degree experience
  • Strong written and communication skills
  • Completion of 3 Actuarial exams/courses
  • Preferred: Health insurance and Medicaid experience
  • Preferred: Database skills in SQL, R, SAS, or Python

Responsibilities

  • Analyze and evaluate future risk events
  • Complete actuarial analysis and valuations using statistical tools
  • Conduct rate level pricing functions and report on pricing
  • Develop forecasts by measuring historical relationships
  • Build and maintain actuarial models for business goals
  • Perform data validation using actuarial techniques
  • Collaborate with Finance, Underwriting, and Product Development teams

Benefits

  • Competitive medical, dental, and vision insurance
  • Generous paid time off and holidays
  • Paid volunteer time off
  • 401K contributions
  • Caregiver services
  • Supportive benefits package for employee wellbeing
Full Job Description
Analyze and evaluate the likelihood of future events in order to reduce and manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools. Perform rate level pricing functions and prepare monitoring reports on program or product pricing. Measure historical relationships to develop forecasts and identify trends. Performs other duties as assigned.

Key Accountabilities

  • Build and maintain actuarial models to support business goals and initiatives
  • Perform data analysis and validation using actuarial and statistical techniques
  • Collaborate with cross-functional teams including Finance, Underwriting and Product Development
  • Perform ad hoc analyses as needed


Required Qualifications

  • Bachelor's degree or equivalent experience in a related field
  • 3+ years of work experience beyond degree
    • Strong written and communication skills


Required Certifications/Licensure

  • 3 Actuarial exams/courses


Preferred Qualifications

  • Health insurance experience
  • Database experience - SQL, R, SAS, Python
  • Medicaid experience a plus


This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

About Medica Health Plans

Medica Health Plans is a non-profit health insurance company based in Minnesota. It was founded in 1975 and provides health insurance to individuals, families, and employers in Minnesota, North Dakota, South Dakota, and Wisconsin. Medica offers a variety of health plans, including HMO, POS, PPO, and Medicare Advantage plans. The company also offers dental, vision, and pharmacy benefits. Medica has received high ratings for customer satisfaction and quality of care. The company is committed to improving the health of its members and the communities it serves.
Learn more about Medica Health Plans
Size
1,700 employees
Industry
Founded
1975

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