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Role Summary

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HIGHLIGHTS

Entry-level Health actuarial role supporting Medicare and Medicaid risk adjustment for a rapidly growing primary care provider. The analyst will manage IBNR models, analyze payer claims, run CMS risk models, and provide actuarial support to markets. The role is based in Miami, Florida, and requires 2+ actuarial exams with a path toward ASA/FSA.

JOB DESCRIPTION SUMMARY

  • Support IBNR modeling and monthly close process
  • Analyze payer claims and CMS public data
  • Run risk adjustment models to calculate member risk scores
  • Provide actuarial support to markets and create reports
  • Hybrid role based in Miami, Florida

DOMAIN EXPERTISE

  • Medicare Advantage risk adjustment
  • Claims data analysis
  • IBNR modeling
  • CMS public data analysis

KEY REQUIREMENTS

  • Bachelor's degree in actuarial science, math, or related
  • 2+ actuarial exams passed (on track to ASA/FSA)
  • Data science experience preferred
  • Proficiency in SQL, SAS, and Visual Basic
  • Willing to travel up to 10%

TECH STACK

  • Excel
  • PowerPoint
  • Outlook
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Role Summary

Loading...

HIGHLIGHTS

Entry-level Health actuarial role supporting Medicare and Medicaid risk adjustment for a rapidly growing primary care provider. The analyst will manage IBNR models, analyze payer claims, run CMS risk models, and provide actuarial support to markets. The role is based in Miami, Florida, and requires 2+ actuarial exams with a path toward ASA/FSA.

JOB DESCRIPTION SUMMARY

  • Support IBNR modeling and monthly close process
  • Analyze payer claims and CMS public data
  • Run risk adjustment models to calculate member risk scores
  • Provide actuarial support to markets and create reports
  • Hybrid role based in Miami, Florida

DOMAIN EXPERTISE

  • Medicare Advantage risk adjustment
  • Claims data analysis
  • IBNR modeling
  • CMS public data analysis

KEY REQUIREMENTS

  • Bachelor's degree in actuarial science, math, or related
  • 2+ actuarial exams passed (on track to ASA/FSA)
  • Data science experience preferred
  • Proficiency in SQL, SAS, and Visual Basic
  • Willing to travel up to 10%

TECH STACK

  • Excel
  • PowerPoint
  • Outlook

Actuarial Services Analyst

ChenMed

Health/Other/IC Level
ChenMed

Actuarial Services Analyst

ChenMed
Miami, Florida, United States•2w ago
OnsiteMedicare AdvantageMedicaid

Job Overview

Salary
$65k - $92k
Years of Experience
0+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an early-career Health actuary with 2+ exams (on track to ASA/FSA) who enjoys working with claims data, CMS risk models, and providing analytical support to business markets.

Benefits

Bonus EligibleHealth InsuranceDental InsuranceVision Insurance401(k) Plan
Shortlist Forming
Closing Soon
20d
20 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
$65k - $92k
Years of Experience
0+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an early-career Health actuary with 2+ exams (on track to ASA/FSA) who enjoys working with claims data, CMS risk models, and providing analytical support to business markets.

Benefits

Bonus EligibleHealth InsuranceDental InsuranceVision Insurance401(k) Plan
Shortlist Forming
Closing Soon
20d
20 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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