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Alignment Health
Alignment Health
501 – 1000 Zaposleni
ZavarovanjeZdravstveno varstvoZdravstveno zavarovanje
Alignment Health je zdravstvena zavarovalnica, osredotočena na izboljšanje oskrbe za člane programa Medicare, zlasti za starejše, ljudi s kroničnimi boleznimi in krhke osebe. Podjetje, ustanovljeno leta 2013, združuje personaliziran model oskrbe s tehnologijo in 24-urno ekipo za usklajevanje oskrbe, ki podporo usklajuje z zaupanja vrednimi lokalnimi ponudniki. Njegovo delo zajema zagotavljanje zdravstvene oskrbe in zavarovanje, pri čemer si prizadeva, da bi bila oskrba za člane dostopnejša, odzivnejša in bolj gospodarno naravnana. Alignment Health zaposluje v rastoči zdravstveni organizaciji, ki skrbi za potrebe skupnosti programa Medicare.
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Delovna mesta v podjetju

Actuarial Analyst II, Medicare Advantage

Support Alignment Health’s Medicare Advantage pricing, forecasting, and reserving work. Build actuarial models and turn healthcare financial analyses into recommendations.

USZdružene države Amerike
77.905 $ – 116.858 $ / leto
Na daljavoPolni delovni časJuniorSrednja ravenZahtevani Jezik: angleščinaAktuar
PythonSQL

Opis

  • Build and maintain actuarial analyses, models, and reports for pricing, forecasting, reserving, risk adjustment, and financial planning.
  • Review claims, utilization, membership, risk scores, provider performance, and benefit experience to identify financial trends, risks, opportunities, and key drivers.
  • Prepare assigned portions of Medicare Advantage bid submissions, actuarial exhibits, and supporting materials.
  • Conduct monthly and quarterly reserve, accrual, and financial performance analyses; validate results, reconcile data, and explain significant variances.
  • Assess the financial effects of product, benefit, network, operational, and regulatory changes.
  • Develop and enhance actuarial models, tools, dashboards, controls, and documentation, applying sound data management, validation, and version control.
  • Share analyses, assumptions, results, and recommendations with actuarial leaders and cross-functional partners.
  • Offer technical guidance and review work prepared by less experienced analysts.
  • Take part in the Actuarial Development Program by pursuing exams, completing development activities, applying feedback, and putting new knowledge to use.

Zahteve

  • Bring 2–4 years of experience in actuarial work, healthcare analytics, insurance, financial modeling, or another relevant quantitative field.
  • Have experience working with large datasets, financial or actuarial models, and reporting tools.
  • Be able to plan and complete assigned analyses independently, check outputs, spot issues, and communicate findings.
  • Have experience explaining quantitative results to nontechnical partners and supporting their decisions.
  • Hold a bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related quantitative field, or have an equivalent combination of education and experience.
  • Actively participate in the Actuarial Development Program.
  • Have passed 2–4 actuarial examinations.
  • Demonstrate actuarial modeling, forecasting, and financial analysis skills.
  • Understand healthcare cost, utilization, membership, and risk adjustment analytics.
  • Work effectively across teams and manage stakeholder relationships.
  • Knowledge of Medicare Advantage is preferred.
  • Programming experience with SQL, R, or Python is preferred.

Sorodna delovna mesta

Blue Cross Blue Shield of Arizona

Actuarial Analyst I, Pricing and Rate Filings — Arizona Remote

Blue Cross Blue Shield of Arizona
1001 – 5000 Zaposleni
Sponzor vizuma H1BLogistikaSvetovanjeZdravstveno varstvo
USZdružene države AmerikeAZArizonaNa daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaAktuar

Support health insurance pricing and forecasting through actuarial analysis and rate filings for Blue Cross Blue Shield of Arizona. Help assess product profitability, coverage affordability, and regulatory compliance.

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The Standard

Actuarial Developer II, Reporting and Analytics — The Standard (Oregon Remote)

The Standard
1001 – 5000 Zaposleni
PravoSvetovanjeZdravstveno varstvo
USZdružene države AmerikeOROregon
109.750 $ – 160.500 $ / leto
Na daljavoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaAktuar
PythonSQL

Advance The Standard’s actuarial reporting and pricing technology as an Actuarial Developer II. Lead adoption of its Actuarial Technology Platform, build Databricks solutions, and apply AI tools to modernize analytics and legacy processes.

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