Your career starts now. We're looking for the next generation of health care 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 health care 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.
The Associate Actuary will collaborate with team members and other stakeholders toward delivering needed actuarial services to the organization. Will work on the Valuation team with the following responsibilities:
Valuation Team
- Calculates, analyzes, and adjusts monthly reserve according to observed payment patterns, seasonality, and anticipated claim development.
- Identifies underlying drivers of monthly IBNR calculations to be communicated to department and company leadership.
- Calculates monthly LOB membership and revenue, identifying primary drivers of monthly revenue and incorporating new revenue streams into models as needed.
- Prepares summaries of revenue and reserves for LOB finance directors and upper management.
- Provides monthly reserve and revenue data to financial reporting as part of monthly close process.
- Compiles supporting documentation and exhibits for reserve, revenue, and medical loss ratio audits.
- Coordinates preparation of text and exhibits for actuarial opinions and certifications.
- 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.
- ASA or near ASA (1-2 requirements remaining)
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field.
- 4 years' experience working in health care and/or Medicaid/ACA products.
- 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, SAS/SQL, and database applications used for analysis, proficiency with Microsoft PowerPoint.
- Programming experience in Python & R is a plus.
- 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.
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
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.
#CO
What We Do
AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services.
