Actuarial Associate

AmeriHealth Caritas • United States, United States • 4w ago

Role Overview:

The Associate Actuary will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization and will work on the Rate Analytics team.

Work Arrangement:

Remote within the United States, working Eastern Standard Time.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required.

Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Responsibilities:

Build pricing analytics for traditional FFS and Value-Based Contracts (VBC).

Execute VBC Settlements.

Develop analyses that support the identification of medical and pharmacy cost trends and collaborate with subject matter experts to identify drivers.

Support rate analytics. Work with internal partners and external consultants.

Assist development of financial forecasts and projections.

Support risk adjustment.

Participate in strategic discussions and support strategies for healthy and sustainable growth.

Develop Power Points to communicate key results to various stakeholders.

Adhere to actuarial standards of practice and the code of professional conduct.

Education/Experience

ASA or near ASA (1-2 requirements remaining)

Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field.

4+ years' experience working in health care and/or Medicaid/ACA products.

Other Skills:

Problem-solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively.

Experience mining large data sets.

Advanced capabilities in Excel, SAS/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.

Programming experience in Python & R is a plus.

Excellent written and verbal communication skills as well as strong data presentation skills.

Established ability to manage multiple initiatives, shifting back and forth effectively among activities, to produce positive results in a dynamic environment.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement, and more.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

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