Actuarial Analyst II (Medicare Duals)

Job Summary :

The Actuarial Analyst II (Medicare Duals) is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives.

Essential Functions :

• Develops actionable recommendations to management relative to all analysis
• Calculates profitability reports on appropriate business segments
• Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability
• Leads regular and ad-hoc analysis / studies to evaluate assumptions used in other processes
• Participates in cross functional teams to address key issues facing the organization
• Prepares monthly calculation of the company's IBNR reserves
• Evaluates government reimbursement process to determine areas of risk and opportunity
• Participates in initiatives to improve operating results
• Initiates key analysis to improve overall MLR results
• Performs other duties as assigned

Preferred Experience :

Experience with data compilation to support bids

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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