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Senior Actuary (Remote)

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  • Contact:

    Mckenna Cieslak

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  • Published:

    11 dagen geleden

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  • Provide data and support for the development of rate filings for submission to the Department of Insurance and CMS.
  • Assesses competitors' rates, trends and rating methodologies.
  • Supports various initiatives as needed by actuarial modeling.
  • Develops/enhances ad hoc reports to assist in actuarial analyses of emerging results.
  • Creates and maintains large databases of information utilizing a unique skill set of spreadsheet and relational database abilities.
  • IBNR Reserves, PDR, Risk Adjustment and other outstanding items
  • Conducts cross-functional analysis of health care data to identify trends and risks.
  • Develop data and reports in support of reinsurance, risk adjustment and risk corridors, ensuring accurate impacts in pricing and coordination with rebate determination.
  • Assess the financial or pricing impact of variations in benefits and provider contracts.
  • Estimate mandated benefit cost and calculate pricing of benefit changes.
  • Tracks trends and reports pertinent financial and utilization information.

Bachelor's Degree in Actuarial Science/Mathematics/Finance/Healthcare Management or a related field

  • 3-4 Actuarial Exams
  • 2-3 years of previous experience.
  • Problem solving and analytical skills.
  • Knowledge of MS-Office products, SAS or SQL

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