Actuarial Analyst

  • 36938
  • Health - Actuarial
  • |
  • California, United States
  • |
  • Mar 5, 2020
Insurance
RESPONSIBILITIES
  • Prepare and analyze base period data for the Medicare bids and reconcile it to financials. Identify data anomalies and analyze root cause.
  • Utilize the Data Warehouse efficiently to develop reports and extract data fields.
  • Analyze historical data trends in order to establish reasonable assumptions.
  • Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters, testing and reviewing pricing results.
  • Verify the details of benefits in the bid model vs. the Plan Benefit Package filed to CMS to ensure accuracy.
  • Maintain models used for the development of Medi-Cal bids and pricing for employer group policy renewals.
  • Supply certain input data to the external consultants and review their deliverables.
  • Assist the financial forecasts of health care costs and the ongoing monitoring of actual results. Develop comparisons between actual versus forecast.
  • Support ad-hoc analytics such as provider contracting, product development, and other customized projects to suit business needs.
  • Maintain professional and technical knowledge by attending educational workshops; reviewing and contributing to professional publications; establishing personal networks; participating in professional societies.
  • Contribute to team effort by accomplishing related results as needed.
  • Other duties as assigned.
QUALIFICATIONS
  • Bachelor's Degree in Actuarial Science, Mathematics, Statistics, or any other major with significant quantitative course work.
  • Significant progress toward ASA is a plus.
  • At least 1-3 years of actuarial experience with health care focus, or comparable actuarial consulting experiences.
  • Comfortable working with data and ability to identify trends from data and draw conclusions.
  • Critical thinking and problem solving skills.
  • Most be proficient in Excel and Access.