Actuarial Analyst | Hybrid

AmeriHealth Caritas · Other US Location

Company

AmeriHealth Caritas

Location

Other US Location

Type

Full Time

Job Description

Responsibilities:

  • Calculates, monitors and assesses impact of benefit and provider reimbursement changes, cost containment programs, on medical cost and trends.
  • Develops and maintains spreadsheets and databases for purposes of trend and data analytics
  • Performs monthly data analysis projects to assist senior analysts
  • Develops forecasting models for re-forecasts and expected budgets
  • Assists in developing cost projections for contact period negotiations.
  • Performs monthly review of outstanding claim liabilities to assist in determining appropriate medical expenses and book reserves.
  • Populates quarterly reporting templates for LOBs.
  • Prepares internal and external communications, including that with regulatory authorities and internal management.
  • Uses best practice models and other industry recognized pricing tools.

Education/Experience:

  • Bachelor's Degree.
  • 0 to 3 actuarial exams.
  • Internship experience a plus.
  • Strong knowledge of Excel, Access, SAS, spreadsheet, and database applications used for analysis.
  • Strong project management skills.

Date Posted

05/09/2024

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