Actuarial Analyst II (Medicare)
CareSource
Role Summary
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Associate-level Health actuarial role focused on Medicare Advantage at CareSource in Dayton, OH. Work includes pricing/bid support, IBNR reserving, MLR and risk-adjustment analysis, SQL/SAS/R data work and large Excel modelling. Active pursuit of the ASA and 5+ SOA exam credits required.
JOB DESCRIPTION SUMMARY
- Support Medicare Advantage pricing, bids, and profitability analysis
- Prepare monthly IBNR reserves and drive MLR improvement initiatives
- Build large Excel models and use SQL, SAS or R for data manipulation
- Participate in cross-functional teams and ad-hoc analytic projects
- Associate-level role requiring active pursuit of ASA and 5+ SOA exam credits
DOMAIN EXPERTISE
- Medicare Advantage bids
- Medicare risk adjustment
- pricing models for Medicare Advantage
- IBNR reserving
- building large Excel models
KEY REQUIREMENTS
- Active pursuit of ASA and combination of experience/exams totalling 5+ SOA credits
- Bachelor’s degree in actuarial science, math, economics or related
- Intermediate experience with SQL, SAS or Access and R
- Experience with Medicare Advantage bids and risk adjustment
- Intermediate Excel modelling skills for large models
TECH STACK
- Excel
- PowerPoint
- Access
