Risk Adjustment Actuary

  • 37511
  • Health - Actuarial
  • |
  • New Jersey, United States
  • |
  • Jun 8, 2020
  • Perform and support trend analysis.
  • Focus ancillary line of business.
  • Perform quarterly Forecasting: Evaluating our current claim and premium experience so as to project our future financial position.
  • Monthly IBNR calculations: Estimating our outstanding claim reserve liabilities at the end of each month/
  • Develop pricing models and support pricing requests which may include rate filings, benefit adjustment factors, fee schedule analysis, new product pricing, etc.
  • Monthly P&L financial reconciliations and frequent liaisons with the Finance team.
  • Present reports, explaining their implications to managers and directors, and advising on risk limitation.
  • Communicating with internal clients and carrying out relationship with financial directors and stakeholders.
  • Experience studies and drill downs to figure out why certain things are occurring.
  • Ad-hoc modeling and projects.
  • Requires a Bachelor’s degree, preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
  • Requires 2+ years of actuarial and/or statistics experience.
  • ASA Preferred.
  • Requires working knowledge of Excel.
  • Prefers working knowledge of Access or other database application.
  • Prefers experience with SAS or other programming language.
  • Prefers knowledge of data analysis and Actuarial principles.
  • Requires good oral and written communication skills.
  • Requires strong analytical thinking.
  • Requires strong mathematical skill and statistical analysis abilities.
  • Requires good judgment and problem solving skills