Actuarial Manager Analyst, Amazon One Medical Actuary, Amazon One Medical Actuary
Medicare AdvantageHealth OtherReserving & ValuationPredictive Modelling & MLPricing & Rating
Role Summary
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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
