Actuarial Associate

  • 37227
  • Health - Actuarial
  • |
  • Florida, United States
  • |
  • Apr 17, 2020
Insurance
RESPONSIBILITIES
  • Prepares monthly calculation of the Corporation’s IBNR reserves.
  • Submits annual Medicare ACR calculation, including all supporting analysis, or assist with Medicaid rate setting analysis.
  • Develops actionable recommendations to management relative to all analysis.
  • Calculates profitability reports on appropriate business segments.
  • Performs monthly analysis identifying opportunities to reduce cost and utilization.
  • Participates in cross functional teams to address key issues facing the organization.
  • Evaluates government reimbursement process to determine areas of risk and opportunity.
  • Participates in regional initiatives to improve operating results.
  • Initiates key analysis to improve overall MLR results.
  • Performs other duties as assigned.
QUALIFICATIONS
  • Required a Bachelor's Degree in a related field.
  • Preferred a Master's Degree in a related field.
  • Required Other combination of years of industry experience and exams passed under the Society of Actuaries Exam Syllabus equaling 5 or more.
  • Intermediate demonstrated interpersonal/verbal communication skills.
  • Intermediate demonstrated written communication skills.
  • Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records.
  • Intermediate ability to work independently.
  • Intermediate ability to work as part of a team.
  • Intermediate ability to work in a fast paced environment with changing priorities.
  • Intermediate ability to effectively present information and respond to questions from peers and management.
  • Intermediate other ability to remain calm under pressure.
  • Intermediate other ability to work overtime as required.
  • Required Intermediate Microsoft Excel.
  • Required Intermediate Microsoft Word.
  • Preferred Intermediate Microsoft PowerPoint.