Actuarial Analyst

agilon health

United States

Description

Company:

AHI agilon health, inc.

Job Posting Location:

Remote - USA

Job Title:

Actuarial Analyst

Job Description:

This position is not eligible for current or future sponsorship or employer-supported work authorization by agilon health. Applicants must be able to accept and maintain employment with agilon health in the United States for the full duration of their employment without sponsorship or work authorization support.

The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective markets. Models will inform monthly close results as well as budget/quarterly forecasts. The Actuarial Analyst will be responsible for identifying drivers of prior period development as well as providing insight into emerging trends in the market. He/she will prepare audit documentation and perform analyses to support ad hoc requests from Market Finance and Business Development.

Essential Job Functions:

For Assigned Market:

  • Update medical margin models for monthly close process
  • Research and identify prior period development in medical margin
  • Use med econ tools to provide deep insight of trend drivers
  • Prepare materials for presenting close results to Market Finance leaders
  • Calculate final cash settlements for MA payer contracts
  • Prepare internal/external audit documentation
  • Inform assumptions for budget/quarterly forecasts
  • Perform analyses to support adhoc requests from Market Finance team
  • Support business development/payer contracting assumptions
  • Other duties as assigned

Other Job Functions:

  • Exemplify companies’ core values
  • Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others

Required Qualifications:

Minimum Experience

  • 1-2 years of relevant actuarial experience within a healthcare and/or

managed care organization

  • Experience with Medicare Advantage products preferred

Education/Licensure:

  • Bachelor’s degree in Actuarial Science, Math, Economics or related field
  • 2+ actuarial exams passed

Knowledge, Skills and Abilities:

  • Ability to manipulate and interpret large data sets (particularly health care

claims and membership data)

  • Experience in actuarial field including the knowledge of best techniques for

analyzing healthcare issues and modeling solutions

  • Familiar with IBNR reserve development, product pricing
  • Health insurance product knowledge with a particular focus on Medicare

Advantage

  • Proficient in Excel and SQL
  • Strong communication, both written and verbal
  • Ability to work in a fast-paced environment where internal/external client

satisfaction is key

  • Entrepreneurial and innovative spirit

Essential Physical Functions:

These are requirements normally expected to perform regular job duties. Incumbent

must be able to successfully perform all the functions of the job with or without accommodation.

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Location:

Remote - TX

Pay Range:

$87,000.00 - $106,600.00

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.