Senior Actuarial Analyst | Remote

Location: Remote, United States

Primary Job Function: Finance

ID**: 31581

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are 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 would like to connect with 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.

Roles and Responsibilities

• Calculates, monitors, and assesses impact of fee schedule changes, program changes, base data changes, and enrollment mix changes over the rate life cycle

• Develops and maintains spreadsheets and databases for purposes of trend and data analytics

• Assists in updating forecasting models for reforecasts and expected budgets

• Assists in developing cost projections for contract period negotiations

• Assists in the preparation of actuarial memorandums for filing with the state and other outside agencies

• Tracks experience against initial budget projections/expenses

• Prepares internal and external communications, including that with regulatory authorities and internal management

• Assists in MLR reporting and analyses, network pricing tasks, and revenue performance measurements

• Uses best practice models and other industry recognized pricing tools

• Applies actuarial principles in the performance of job responsibilities

Experience/Skills

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field

• 3+ actuarial exams

• Strong knowledge of Excel, SAS/SQL, and database applications used for analysis

• Programming experience in Python or R is a plus

• Strong project management skills

• Strong ability to work on a team/communicate effectively

• Prior experience in healthcare, is a plus

Diversity, Equity, and Inclusion

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.

Our Comprehensive Benefits Package

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.

EOE Minorities/Females/Protected Veterans/Disabled