Jobs

    Actuarial Analyst I - Not specified, United States - CareSource

    CareSource
    CareSource Not specified, United States

    1 week ago

    Default job background
    Full time
    Description
    Job Summary:

    The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.

    Essential Functions:
    • Develops actionable recommendations to management relative to all analysis
    • Calculates profitability reports on appropriate business segments
    • Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability
    • Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes
    • Participates in cross functional teams to address key issues facing the organization
    • Prepares monthly calculation of the company's IBNR reserves
    • Evaluates government reimbursement process to determine areas of risk and opportunity
    • Participates in initiatives to improve operating results
    • Initiates key analysis to improve overall MLR results
    • Performs other duties as assigned
    Education and Experience:
    • Bachelor's degree in actuarial science, mathematics, economics or a related field is required
    • Strong database (SAS or Access) experience is preferred
    • Managed Care or healthcare experience is preferred
    Competencies, Knowledge and Skills:
    • Intermediate interpersonal/verbal communication skills and a high level of professionalism
    • Intermediate written communication skills
    • Intermediate ability to work independently and within a team environment
    • Intermediate ability to work in fast paced environment with changing priorities
    • Intermediate ability to remain calm under pressure
    • Intermediate proficiency level with Microsoft Excel
    • Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
    • Basic ability to effectively present information and respond to questions from peers and management
    • Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records
    • Basic knowledge of SQL, SAS, R, or other data manipulation software
    • Effective problem-solving skills with attention to detail
    • Effective listening and critical thinking skills
    Licensure and Certification:
    • A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement
    • Active pursuit of an actuarial designation (ASA) is required
    Working Conditions:
    • General office environment; may be required to sit or stand for extended periods of time
    Compensation Range:
    $60, $96,500.00
    CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

    Compensation Type (hourly/salary):
    Salary

    Organization Level Competencies
    • Create an Inclusive Environment
    • Cultivate Partnerships
    • Develop Self and Others
    • Drive Execution
    • Influence Others
    • Pursue Personal Excellence
    • Understand the Business
    This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

  • agilon health

    Actuarial Analyst

    3 weeks ago


    agilon health Not specified, United States Full time

    Company: · AHI agilon health, inc. · Job Posting Location: · Remote - USA · Job Title: · Actuarial Analyst · Job Description: · Position Summary: · The Actuarial Analyst will work under the guidance of a regional manager to update medical margin models for their respective mark ...

  • Blue Cross and Blue Shield of North Carolin

    Actuarial Analyst

    3 weeks ago


    Blue Cross and Blue Shield of North Carolin Not specified, United States Full time

    Job Description · The Actuarial Analyst will serve as a key member of our Pharmacy Analytics team. This individual will be expected to leverage foundational actuarial and analytical competencies to help the organization perform all actuarial functions required in support of our P ...

  • Molina Healthcare

    Actuarial Analyst

    1 week ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to nati ...

  • Molina Healthcare

    Actuarial Analyst

    2 weeks ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. · KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to ...

  • EMC Insurance Group, Inc.

    Actuarial Analyst

    1 week ago


    EMC Insurance Group, Inc. Not specified, United States Full time

    At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. · Essential Fun ...

  • Molina Healthcare

    Actuarial Analyst

    1 week ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to nati ...

  • Molina Healthcare

    Actuarial Analyst

    6 days ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Analyzes data for cost savings opportunities and performance improvement initiatives. Research healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculat ...

  • Molina Healthcare

    Actuarial Analyst

    2 weeks ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. · KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to ...


  • Kemper Corporation Not specified, United States Full time

    Location(s) · Remote-GA · Details · Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valu ...


  • Kemper Corporation Not specified, United States Full time

    Location(s) · Remote-FL · Details · Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valu ...


  • Centene Corporation Not specified, United States Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flex ...


  • Evolent Health, Inc. Not specified, United States Full time

    Your Future Evolves Here · Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure ...

  • Prime Therapeutics LLC

    Sr Actuarial Analyst

    3 weeks ago


    Prime Therapeutics LLC Not specified, United States Full time

    Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. · Job Posting Title · Sr Actuarial Analyst - Remote · Job Description Summary · Supports analytical need ...


  • DoorDash Not specified, United States Full time

    About the Team · The Risk & Insurance team at DoorDash is responsible for all things corporate insurance at the company. We are a rapidly growing and exciting function that helps DoorDash manage risk and safety with a close lens on the company's bottom line. We are looking for fo ...


  • Highmark Health Not specified, United States Full time

    Company : · Highmark Inc.Job Description : · Job Description · JOB SUMMARY · This job is a mid-level actuarial analyst position. Participate in Highmark's Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential and apply ac ...


  • Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. · KNOWLEDGE/SKILLS/ABILITIESSupport the development of the IBNR e ...


  • AmeriHealth Caritas Not specified, United States Full time

    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 associa ...

  • Molina Healthcare

    Sr Actuarial Analyst

    19 hours ago


    Molina Healthcare Not specified, United States Full time

    JOB DESCRIPTION · Job Summary · Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. · KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to ...


  • Independent Health Not specified, United States Full time

    FIND YOUR FUTURE · We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion. · Overview · Under the supervision of the Manager-Actuarial Services, the can ...


  • Independent Health Not specified, United States Full time

    FIND YOUR FUTURE · We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion. · Overview · Under the supervision of the Manager-Actuarial Services, the ind ...