The Associate Actuary will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization. This position will support Medicaid Markets.
Work Arrangement
- This is a 100% Remote position but you must live in EST or CST time zones
Responsibilities
- Provides support for rate advocacy by managing databooks and rate mirroring, rate models, MCO surveys, and other requests
- Projects and plans for quarterly forecasts utilizing financial forecast models for assigned lines of business
- Updates forecasting models for reforecasts and expected budgets
- Determines drivers of medical and pharmacy costs changes
- Presents key findings to market leaders and other key stakeholders
- Supports performance management by tracking current financials and analyzing emerging issues
- Informs rate setting with validation of Medicaid pricing and ad hoc requests from agencies
- Works collaboratively with internal and external partners
- Developing actuarial models, presentation materials and communicating results of actuarial analyses to various stakeholders
- Adheres to actuarial standards of practice and the code of professional conduct
Education and Experience
- Near ASA (ASA Preferred)
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
- At least three to five (3- 5) years of actuarial experience
- Problem solving skills, including the ability to work independently and systematically analyze complex problems, draw relevant conclusions, and successfully devise/implement solutions calmly and effectively
- Experience mining large data sets
- Advanced capabilities in Excel, Databricks/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.
- Programming experience in Python & R is a plus
- At least four (4) years' experience working in health care and/or Medicaid/ACA products
- Excellent written and verbal communication skills as well as strong data presentation skills
- Established ability to manage multiple initiatives, shifting back and forth effectively among activities, to produce positive results in a dynamic environment.
Your career starts now. We're looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.