Company:AHI agilon health, inc.
Job Posting Location:Remote - USA
Job Title: Actuarial Analyst
Job Description:
Position Summary:
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:
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Update medical margin models for monthly close process
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Research and identify prior period development in medical margin
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Use med econ tools to provide deep insight of trend drivers
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Prepare materials for presenting close results to Market Finance leaders
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Calculate final cash settlements for MA payer contracts
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Prepare internal/external audit documentation
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Inform assumptions for budget/quarterly forecasts
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Perform analyses to support adhoc requests from Market Finance team
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Support business development/payer contracting assumptions
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Other duties as assigned
Other Job Functions:
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Exemplify companies’ core values
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Collaborate with Market Finance, FP&A, Accounting, Med Econ, and others
Required Qualifications:
Minimum Experience
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1-2 years of relevant actuarial experience within a healthcare and/or managed care organization
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Experience with Medicare Advantage products preferred
Education/Licensure
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Bachelor’s degree in Actuarial Science, Math, Economics or related field
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2+ actuarial exams passed
Knowledge, Skills, and Abilities:
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Ability to manipulate and interpret large data sets (particularly health care claims and membership data)
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Experience in actuarial field including the knowledge of best techniques for analyzing healthcare issues and modeling solutions
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Familiar with IBNR reserve development, product pricing
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Health insurance product knowledge with a particular focus on Medicare Advantage
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Proficient in Excel and SQL
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Strong communication, both written and verbal
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Ability to work in a fast-paced environment where internal/external client satisfaction is key
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Entrepreneurial and innovative spirit
Location: Austin, TXPay 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.
What We Do
agilon health is transforming health care for seniors by empowering primary-care physicians to focus on the entire health of their patients. Through our platform and partnership model, agilon health is leading the nation in creating the system we need – one built on the value of care, not the volume of fees. We honor the independence of local physicians and serve as their long-term partner so they can be the physicians they trained to be.
agilon is built for physicians by physicians, as the patient-physician relationship is the cornerstone of care. We allow primary care physicians to take the long view of their relationships with patients, and to be confident in the long-term financial viability of their own practices. We do this through a Total Care Model that maintains the independence of physicians; unites them in a network of like-minded leaders; and integrates all of the components of a global risk business model into a single platform.
