Actuarial Analyst
RemoteMedicare AdvantageReserving & ValuationBusiness Intelligence & ReportingUW Support & Portfolio Management
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Role Summary
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Actuarial analyst (Health) supporting Medicare Advantage financials remotely in the U.S. You will maintain medical margin models used for monthly close, budgeting, and quarterly forecasts, analyze drivers of claims and revenue development, and support payer contracting cash settlements. Role reports to an Actuarial Regional Manager and includes exam study support and mentorship.
JOB DESCRIPTION SUMMARY
- Maintain and enhance medical margin models for monthly close and forecasting
- Analyze drivers of prior period development for Medicare Advantage results
- Prepare audit documentation and present close results to Market Finance leadership
- Support payer contract cash settlements and Business Development with actuarial inputs
- Fully remote role (US) with SOA exam study hours and actuarial mentorship
DOMAIN EXPERTISE
- Medicare Advantage products
- medical claims data analysis
- IBNR reserve development and forecasting
- medical margin modelling for monthly close
- payer contract cash settlements
KEY REQUIREMENTS
- 1–4 years relevant actuarial experience in insurance, consulting, or managed care
- 2+ actuarial exams passed
- Bachelor’s degree in Actuarial Science, Math, Economics, or related field
- Experience analyzing medical claims and healthcare financials
- Proficient in SQL and Excel
TECH STACK
- Excel
