Actuarial Consultant

  • 34748
  • Life - Actuarial
  • |
  • Massachusetts, United States
  • |
  • Feb 22, 2019
Insurance
RESPONSIBILITIES
  • Actively participate on corporate bid team.
  • Respond to requests from external consultants for data.
  • Maintain accurate records of work and develop process documentation.
  • Manage CMS/HPMS software.
  • Enhance EGWP pricing model and provide account specific rates.
  • Educate product line management on drivers of variances from budget for all revenue streams.
  • Meet regularly with the product line manager to identify and implement reports to improve product performance and identify opportunities to enhance revenue.
  • Medical loss ratio reporting for Medicare Advantage, PACE and SCO products.
  • Develop standard pricing for individual and group Med Supp products.
  • Provide experience-based rates to large group prospects and renewals.
  • Participate in corporate projects and subgroup meetings. Complete analyses related to corporate projects and business needs as required.
QUALIFICATIONS
  • BA or BS - Mathematics, Finance, Economics, Management, other.
  • Experience in managed health care financial analysis. Familiarity with Medicare Advantage and/or Part D preferred.
  • Support role: Actuarial, Finance, Accounting, Regulatory, Enrollment, Claims - other.
  • Advanced Excel skills.
  • SQL- Navigator and/or SAS experience.
  • Ability to create presentations & exhibits in formats that meet various audience level.
  • 10 years - Managed Care setting.
  • 8 years - Excel.
  • 5 years - SQL/SAS Experience.