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Alignment Health
Alignment Health
501 – 1 000 Xodimlar
Sog‘liqni saqlashSug‘urtaTibbiy sug‘urta
Alignment Health Medicare a’zolariga, ayniqsa keksalar, surunkali kasalliklar bilan yashayotganlar va nimjon insonlarga tibbiy yordamni yaxshilashga e’tibor qaratadigan tibbiy sug‘urta kompaniyasidir. 2013-yilda tashkil etilgan kompaniya shaxsiylashtirilgan parvarish modelini texnologiya va ishonchli mahalliy xizmat ko‘rsatuvchilar bilan yordamni muvofiqlashtiradigan 24/7 maslahat jamoasi bilan birlashtiradi. Uning faoliyati tibbiy xizmat ko‘rsatish va sug‘urta sohalarini qamrab oladi hamda a’zolari uchun yordamni yanada qulay, tezkor va xarajatlarni hisobga oladigan qilishga qaratilgan. Alignment Health Medicare hamjamiyatlari ehtiyojlariga xizmat ko‘rsatuvchi, rivojlanib borayotgan sog‘liqni saqlash tashkilotining turli yo‘nalishlariga xodimlar yollaydi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma Shtatlari
77 905 $ – 116 858 $ / yil
MasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaAktuariy
PythonSQL

Tavsif

  • 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.

Talablar

  • 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.

O‘xshash ish o‘rinlari

Blue Cross Blue Shield of Arizona

Actuarial Analyst I, Pricing and Rate Filings — Arizona Remote

Blue Cross Blue Shield of Arizona
1 001 – 5 000 Xodimlar
H1B vizasi homiysiKonsaltingLogistikaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariAZArizonaMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAktuariy

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.

Ochish
The Standard

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

The Standard
1 001 – 5 000 Xodimlar
HuquqKonsaltingSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariOROregon
109 750 $ – 160 500 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAktuariy
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.

Ochish