Actuarial Manager Analyst, Amazon One Medical Actuary, Amazon One Medical Actuary

Amazon • New York, NY • 5h ago

Description

Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations.

Key job responsibilities

-Analysis of Medicare Advantage and Accountable Care Organization data primarily

-Medical economics reporting and ad-hoc analysis relating to cost of care management

-Medicare Risk score projections and premium estimation

-Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation

-Lead continuous evaluation of TME performance compared to plan expectations

-Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning

-Support month end financial and accounting processes for relevant actuarial estimates.

-Value based care contracting support and ongoing financial and risk analysis.

-Support ongoing actuarial support for outside auditor review of financial estimates and results.

-Design studies to monitor the suitability of the completion factor estimates.

-Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations.

-Complete the evaluation of stop-loss coverage and manage third party vendors

-Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)

Basic Qualifications

6+ years of data scientist experience

Associate of the Society of Actuaries (ASA) is required -Experience with Medicare or Medicare Advantage products -Strong knowledge of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker -Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical, etc.) -Bachelor's degree is required

Preferred Qualifications

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $125,500/year in our lowest geographic market up to $212,800/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits . This position will remain posted until filled. Applicants should apply via our internal or external career site.

Amazon

Go to Apply

Share this job

Similar Jobs

ABA Therapist Position

Comprehensive Behavior Supports • Bronx, NY • 4h ago

Hospital & Medical

ABA Therapist Position Department:Behavior Technician Location:Bronx, NY Are you seeking a career that makes a meaningful impact on the world? Join us in our mission to empower children with Autism to achieve their full...

4h ago

Go to Apply

Per Diem Physical Therapist

Erickson Living • Pompton Plains, NJ • 9h ago

Hospital & Medical

Location: Cedar Crest Village by Erickson Senior Living We are hiring a resident-centered Physical Therapist to join our team. All of our residents live within our award-winning campus, creating an environment where you...

9h ago

Go to Apply

Physical Therapist

BronxCare Health System • Bronx, NY • 9h ago

Hospital & Medical

Overview To function as a staff physical therapist in an active outpatient pediatric setting. The therapist will work with a wide variety of diagnoses and disabilities. The therapist will have the opportunity to particip...

9h ago

Go to Apply

Physical Therapist

Select Medical • Middletown, NJ • 9h ago

Hospital & Medical

Overview Kessler Rehabilitation Center Position: Physical Therapist Float Location: Middlesex/Mercer County Schedule: Full-Time 40 hours weekly Compensation: $85,000-$110,000 annually depending on years of experience **...

9h ago

Go to Apply

Home Care Physical Therapist- Per Diem

U.S. Physical Therapy • Garden City, NY • 9h ago

Hospital & Medical

Company Description Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring...

9h ago

Go to Apply

Home Care Physical Therapist- Per Diem

U.S. Physical Therapy • Valley Stream, NY • 9h ago

Hospital & Medical

9h ago

Go to Apply

Laboratory Assistant (Receiving) - Biology

NYU Rory Meyers College of Nursing • New York, NY • 11h ago

Hospital & Medical

Position Summary Arts & Science is seeking a talented Laboratory Assistant (Receiving) to join the Department of Biology. This individual will deliver and/or distribute supplies and equipment to laboratories, followi...

11h ago

Go to Apply

Registered Nurse

Helen Keller National Center for Deaf Blind Youths and Adults • Sands Point, NY • 13h ago

Hospital & Medical

Salary Range: $45.00 (USD) Hourly Are you ready to make a difference in your community? Do YOU want to work on a team that is committed to empowering individuals? At Helen Keller Services, our employees work in an enviro...

13h ago

Go to Apply

Certified Nursing Assistant

Northwell Health • Manhasset, NY • 13h ago

Hospital & Medical

Req Number 168434 Job Description Assists resident/patients in obtaining maximal level of independence in activities of daily living. Assists in performing direct/indirect patient care in accordance with the policies and...

13h ago

Go to Apply

Registered Nurse Manager

Project Renewal, Inc. • New York, NY • 14h ago

Hospital & Medical

Title: Nurse Manager-Support and Connection Center Program: Healthcare Department Salary: $98,000 - $105,000 Position Overview: The Nurse Manager for Substance Use Treatment Services will assist the Deputy Director of Nu...

14h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.