Associate Actuary 25-00455

POSITION

Associate Actuary

DESCRIPTION

The Associate Actuary is responsible for providing actuarial analytic support to various department and company key initiatives. This role serves as a technical consultant and SME to financial analysts, other departments, and as needed on projects. Our client is committed to incorporating Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

• Lead ongoing analyses of financial, budgetary, or medical claims data, through forecasting, statistical analyses, trending, regression analyses, provider contracting analyses, risk adjustment analyses, and / or utilization assessment. Identify key issues and trends and bring them to the attention of higher-level staff members. Use professional concepts and internal policies and procedures to solve problems or provide suggestions.
• Build financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Quantify the financial impact of opportunities or expenditures. Test and reconcile all financial models and analytic results. Provide ongoing financial analyses. Consolidate a wide-range of operating and financial projections for the development of short- and long-term business plans.
• Manage complex financial analysis projects and under supervision of a more senior staff member if required. Monitor, analyze and evaluate complex data using statistical tools to identify variances, problems and trends.
• Generate and distribute regularly scheduled actuarial reports. Review and organize actuarial and operational data for reports. Utilize statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data. May be responsible for the preparation of complex reports.
• Participate in a variety of special studies and ad hoc analyses in support of departmental business and / or clinical objectives.
• Research and resolve data integrity issues. Work independently or with other departments to solve problems.
• Act as a project lead to staff in other departments, providing information and explanations related to financial data as needed. Answer most questions and refer highly complex issues to others.
• Participate in and lead workgroups or meetings. Communicate and present financial analyses and models to appropriate audiences.
• Mentor or provide training to junior staff on actuarial analytics and the use of data.
• Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

REQUIREMENTS

Key Qualifications

Education & Requirements

INDH