Role Summary

HIGHLIGHTS

Senior health actuarial role at Amazon One Medical in San Francisco focused on Medicare Advantage and ACO analytics. You will build monthly reserving for Total Medical Expense, project Medicare risk scores and premiums, and support financial reporting, forecasting, and value‑based contracting analyses. The role requires an ASA and strong hands‑on experience with medical claims data and analytical tooling.

JOB DESCRIPTION SUMMARY

Design and run monthly reserving for Total Medical Expense (TME)
Analyze Medicare Advantage and ACO claims and project risk scores
Lead TME performance evaluation and support month‑end financial processes
Work cross‑functionally with Finance, FP&A, Operations, Clinical teams
San Francisco location; ASA required and 6+ years' experience

DOMAIN EXPERTISE

Medicare Advantage analysis
Accountable Care Organization (ACO) data analytics
Medicare risk score projections and premium estimation
Actuarial reserving and monthly TME forecasting
Working with medical claims data and Snowflake/SQL/R/Python

KEY REQUIREMENTS

6+ years of data science/analytical experience
Associate of the Society of Actuaries (ASA) required
Experience with Medicare / Medicare Advantage products
Strong actuarial reserving, forecasting, and medical economics skills
Hands‑on with medical claims data and SQL, R, SAS or Python; Snowflake/Tableau/Looker

TECH STACK

Snowflake
Tableau
Looker

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Design and run monthly reserving for Total Medical Expense (TME)
Analyze Medicare Advantage and ACO claims and project risk scores
Lead TME performance evaluation and support month‑end financial processes
Work cross‑functionally with Finance, FP&A, Operations, Clinical teams
San Francisco location; ASA required and 6+ years' experience

DOMAIN EXPERTISE

Medicare Advantage analysis
Accountable Care Organization (ACO) data analytics
Medicare risk score projections and premium estimation
Actuarial reserving and monthly TME forecasting
Working with medical claims data and Snowflake/SQL/R/Python

KEY REQUIREMENTS

6+ years of data science/analytical experience
Associate of the Society of Actuaries (ASA) required
Experience with Medicare / Medicare Advantage products
Strong actuarial reserving, forecasting, and medical economics skills
Hands‑on with medical claims data and SQL, R, SAS or Python; Snowflake/Tableau/Looker