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Role Summary

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HIGHLIGHTS

Health actuarial manager role on Amazon One Medical in San Francisco focused on Medicare Advantage and ACO analytics. You will design and run a monthly reserving process for Total Medical Expense, produce Medicare risk score projections and premium estimates, and support value-based contracting and finance reporting. Requires an ASA and 6+ years of relevant experience.

JOB DESCRIPTION SUMMARY

  • Lead reserving and monthly TME estimation for Medicare Advantage and ACOs
  • Produce Medicare risk score projections and premium estimates
  • Analyze medical claims and medical economics; support value-based contracting
  • Work cross-functionally with Finance, FP&A, Operations, Clinical, and auditors
  • Tech stack includes SQL, R, SAS, Python, Snowflake, Tableau/Looker

DOMAIN EXPERTISE

  • Medicare Advantage analytics
  • Accountable Care Organization (ACO) data analysis
  • reserving and forecasting for Total Medical Expense (TME)
  • Medicare risk score projections and premium estimation
  • value-based care contracting and risk-based funding analysis

KEY REQUIREMENTS

  • 6+ years of data scientist or analytic experience
  • Associate of the Society of Actuaries (ASA) required
  • Experience with Medicare Advantage or ACO data
  • Strong reserving, forecasting and medical economics experience
  • Proficiency with medical claims data and SQL, R, SAS, Python

TECH STACK

  • Snowflake
  • Tableau
  • Looker
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Role Summary

Loading...

HIGHLIGHTS

Health actuarial manager role on Amazon One Medical in San Francisco focused on Medicare Advantage and ACO analytics. You will design and run a monthly reserving process for Total Medical Expense, produce Medicare risk score projections and premium estimates, and support value-based contracting and finance reporting. Requires an ASA and 6+ years of relevant experience.

JOB DESCRIPTION SUMMARY

  • Lead reserving and monthly TME estimation for Medicare Advantage and ACOs
  • Produce Medicare risk score projections and premium estimates
  • Analyze medical claims and medical economics; support value-based contracting
  • Work cross-functionally with Finance, FP&A, Operations, Clinical, and auditors
  • Tech stack includes SQL, R, SAS, Python, Snowflake, Tableau/Looker

DOMAIN EXPERTISE

  • Medicare Advantage analytics
  • Accountable Care Organization (ACO) data analysis
  • reserving and forecasting for Total Medical Expense (TME)
  • Medicare risk score projections and premium estimation
  • value-based care contracting and risk-based funding analysis

KEY REQUIREMENTS

  • 6+ years of data scientist or analytic experience
  • Associate of the Society of Actuaries (ASA) required
  • Experience with Medicare Advantage or ACO data
  • Strong reserving, forecasting and medical economics experience
  • Proficiency with medical claims data and SQL, R, SAS, Python

TECH STACK

  • Snowflake
  • Tableau
  • Looker

Job Overview

Salary
$126k - $213k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level ASA with 6+ years in health actuarial analytics (Medicare Advantage/ACO), strong reserving and TME forecasting skills, and proficiency in SQL and R/Python.

ASA

Benefits

Equity/Stock OptionsSign-On BonusHealth Insurance
Shortlist Forming
Closing Soon
55d
55 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$126k - $213k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level ASA with 6+ years in health actuarial analytics (Medicare Advantage/ACO), strong reserving and TME forecasting skills, and proficiency in SQL and R/Python.

ASA

Benefits

Equity/Stock OptionsSign-On BonusHealth Insurance
Shortlist Forming
Closing Soon
55d
55 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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Medicare AdvantageHealth OtherReserving & ValuationPredictive Modelling & MLPricing & Rating