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 Manager, MA Revenue Analytics is responsible for leading the development, validation, and optimization of models and analytics that support accurate revenue forecasting for agilon’s Medicare Advantage (MA) population. Models will incorporate CMS and health plan provided data as well as operational leading indicators. Results will be used for budgeting, forecasting, contracting, and monthly booking activities.
Essential Job Functions:• Build upon existing processes to create standardized MA risk adjustment projection models• Evaluate operational leading indicators and connection to actuarial projections• Influence BOI (Burden of Illness)-based operational leading indicators• Benchmark market performance and identify areas for opportunity• Investigate differences in health plan risk adjustment coding practices using MAO-004 data• Summarize YoY changes in MA bid rates/rebates and evaluate impact to agilon’s book of business• Assess health plan MA bid strategies and partner with payer contracting/other stakeholders to mitigate risks• Educate internal stakeholders on the health plan MA bidding process and risk adjustment where necessary to appropriately deliver results• Provide actionable insights and recommendations to senior leadership based on actuarial analyses• Collaborate with Payer Data Management to onboard new revenue-only MA payers in the FDP (Financial Data Pipeline)• Prepare internal/external audit documentation• Support build-out of improved actuarial team processesOther Job Functions:· Grow and lead talent· Exemplify companies’ core values· Collaborate with Market Finance, FP&A, Accounting, Med Econ, and othersSalary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.
Skills Required
- 5+ years of actuarial experience related to the Medicare Advantage program
- Demonstrated leadership capability; prior experience leading others
- ASA or FSA designation
- Bachelor's degree in Actuarial Science, Math, Economics or related field
- Strong understanding of MA revenue components
- Deep understanding of MA risk adjustment and bidding process
- Understanding of MA health plan data (MMR, MAO-004, Claims)
- Proficiency with Excel
- Proficiency with SQL
- Strong model building mindset (model flow, auditability, ease of use)
- Experience presenting actuarial/financial concepts to non-technical audiences
- Experience with value-based arrangements
agilon health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about agilon health and has not been reviewed or approved by agilon health.
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Strong & Reliable Incentives — Bonuses and stock grants are described as superior to other workplaces and part of “excellent” packages for some roles. Incentive components are credited with elevating overall compensation in certain areas.
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Leave & Time Off Breadth — Unlimited PTO, generous holidays, and occasional wellness or volunteer days are highlighted across parts of the organization. These elements create wide latitude for time away when team norms allow.
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Retirement Support — A 401(k) with a significant company match is emphasized, with some accounts noting immediate vesting. This strengthens the long-term savings value of the package.
agilon health Insights
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.
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