Actuarial Analyst, One Medical Actuary, One Medical Actuary - San Francisco, California, USA
2 days ago
Job description
Amazon One Medical is hiring a Actuarial Analyst. Actuarial rigor is one of the keys to our success.This candidate will responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared to plan expectations.
Key job responsibilities- Analysis of Medicare Advantage and Accountable Care Organization data primarily
- Medical economics reporting and ad hoc analysis relating to cost of care management
- Medicare Risk score projections and premium estimation
- Design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation
- Lead continuous evaluation of TME performance compared to plan expectations
- Coordinate with the finance team on future TME projections that are refreshed monthly and provided quarterly for forecasting and planning
- Support month end financial and accounting processes for relevant actuarial estimates.
- Value based care contracting support and ongoing financial and risk analysis.
- Support ongoing actuarial support for outside auditor review of financial estimates and results.
- Design studies to monitor the suitability of the completion factor estimates.
- Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations.
- Complete the evaluation of stop loss coverage and manage third party vendors
- Analyze and develop new to market assessments and modeling which includes future Medicare geographic expansion and enhancements / changes to other market segments (Commercial potentially)
- 6+ years of data scientist experience
- Associate of the Society of Actuaries (ASA) is required Experience with Medicare or Medicare Advantage products Strong knowledge of actuarial reserving, forecasting and medical economics Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python, Snowflake, Tableau/Looker Ability to work cross functionally and communicate effectively with stakeholders (Operations, Finance, Planning, & Accounting (FP&A), Clinical, etc.) Bachelor's degree is required
- Fellow of the Society of Actuaries (FSA)
- Bachelor's degree in Finance, Actuarial Science, Mathematics, Economics, or Business
- Experience working with risk bearing provider groups
- Experience in value based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants:
Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies.
Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position.
These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation.
Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information.
If the country/region you're applying in isn't listed, please contact your Recruiting Partner.The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location.
Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave.
Learn more about our benefits atUSA, CA, San Francisco - 157, ,800.00 USD annually
USA, MA, Boston - 136, ,000.00 USD annually
USA, NY, New York - 153, ,500.00 USD annually
USA, WA, Seattle - 136, ,000.00 USD annually
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